The healthiest food at McDonalds’s for cancer survivors

It can feel impossible trying to order healthy food at McDonald’s.

Whether you are:

  • too tired to cook from cancer fatigue

  • stuck at the hospital

  • on the road

  • in need of a quick bite

  • on a budget

  • or on vacation

And you find yourself at McDonald’s, this blog is for you and you will learn:

  1. What foods to eat & what to avoid at McDonald's.

  2. The healthiest items on the menu

  3. Healthy options that aren’t a salad.

  4. The items you should never get at McDonald’s.

  5. as a cancer survivor

Let’s begin.

For complete access to Mcdonald’s nutrition label click here


What to eat and what to avoid as a cancer survivor eating at mcDonalds


The healthiest food choices for cancer survivors include:

  • Plenty of plants, including fruits, vegetables, soy, roots, and herbs.

  • No processed meats (Ham, sausage, hot dogs, pepperoni, beef jerky, deli meats, roast beef, and smoked/ cured meats) .

  • <18 oz of red meat a week.

  • Lots of fatty fish, seeds, and nuts

  • <4 drinks a month

  • <2300 mg of sodium

  • <26 g of sugar

Cancer Fact: Soy decreases the risk of cancer and improves survival (including in hormone-positive breast cancer)


Tier 1: The Healthiest food to eat at McDonalds


The healthiest food at McDonalds will always be a salad with grilled chicken and water or a zero calorie drink.

The healthiest food at McDonalds’s for cancer survivors

1. Grilled Chicken Salad

150 Calories

25g of Protein

0.3g of Fat

2g of Fiber

288 mg of Sodium

Eating the grilled chicken salad will always better than the crispy chicken salad, but the crispy chicken salad is always better than a burger.

Tip: When it comes to eating healthy, think of it as eating in tiers. There is always a healthier choice than another. Focus on the next best choice you can make.


Tier 2: I want to Eat Healthy—just not a Salad


It is ok if you are not in the mood for a salad and water. You still have healthy options to eat at McDonlad’s.

The healthiest food at McDonalds’s for cancer survivors

2. Grilled Sweet Chili Chicken Wrap.

340 Calories

29g of Protein

6.4g of Fat

4g of Fiber

600 mg of Sodium

The grilled chicken wrap has more protein and less fat than a burger. Grab the sweet chili if you need to lose weight and the Cesar if you need to gain weight.

For more information on how to gain weight after cancer, click here.

For more information on how to lose fat after cancer, click here.

Honorable Mentions to Include as Sides:

  • Apple slices

  • Fruit Oatmeal

  • Spicy Veggie Wrap

Tip: Stick with 0 calorie drinks. One 0 calorie drink is not associated with cancer. Diet soda is safe to drink and will not ruin your metabolism, gut, or brain. For more information on diet soda and cancer, click here.


Tier 3: A Step towards eating healthier at McDonald’s but not the best options


The best burger you can have is one with avocados that is homemade. But McDonalds more protein and less calories than anything else on the menu.

The healthiest food at McDonalds’s for cancer survivors

3. Cheeseburger or hamburger

With Cheese:                         Without Cheese:

300 Calories                          250 Calories

15g of Protein                      13g of Protein 

12 of Fat                                   8.5g of Fat

2g of Fiber                              2g of Fiber

640 mg of Sodium             440 mg of Sodium

Cancer Fact: Carbs do not cause or feed cancer. Cancer can feed off fats, amino acid, and sugar. Whole grains are great for reducing cancer fatigue. Opt in for healthy carbs like fiber and ditch the pastries.

The healthiest food at McDonalds’s for cancer survivors

4. Mayo Chicken or McChicken

Mayo Chicken:                   McChicken

280 Calories                         400 Calories

12g of Protein                     17g of Protein 

9 of Fat                                    15g of Fat

2g of Fiber                              3g of Fiber

365 mg of Sodium             480 mg of Sodium

Tip: Drink/sip water while you eat to help chew food better and get full faster if you are trying to lose weight.


Tier 4: Absolutely The worst items to eat as a cancer survivor


The worst items on the McDonald’s menu include grease, bacon, and double meat.

Double the patty means more sodium and fat, which can be harmful to your cholesterol and arteries.

The healthiest food at McDonalds’s for cancer survivors

Double Quarter Pounder with Cheese

750 Calories

52g of Protein

42g of Fat

3g of Fiber

1280 mg of Sodium

52g of protein is only 7% of the calories from protein, and the extra fat and salt make it more harmful than helpful to your arteries.

The healthiest food at McDonalds’s for cancer survivors

By far, the absolute worst option at McDonald’s is the big breakfast with hot cakes and large biscuits.

The hot cakes have:

  • the most calories

  • a day’s worth of sodium

  • the most saturated fat

  • the least protein per calorie.

Even getting the hot cakes with egg whites holds more fat than any single burger. You are better off with a McMuffin for breakfast.

Honorable Mention to Avoid

  • Vanilla or strawberry milkshakes have 360+ calories and >60 g of sugar. Whereas the McFlurry has less calories (260) and sugar (32g).

  • Large fries, soda/pop, cookies, and/or apple pies. It is better to opt in for apple slices, small fries, or oatmeal to reduce the saturated fat in your meal.

Tip: Share the fat. Always look for ways to split your dessert, share your fries, and get your dressing and sauces on the side to reduce unnecessary calories.


The healthiest items on the McDonald's menu have the best calories per protein ratio, lowest sodium and fat content, and sufficient fiber.


  1. Best Calories Per Protein Ratio: Too many calories and not enough protein may lower the chances of cancer survival, increase body fat, and increase the risk of a second cancer. Protein makes fat loss and muscle gain easier.

    Tip: Have at least a 10% ratio of protein to calories. For example, if your meal is 400 calories, you’d want to have at least 40 grams (g) of protein.

  2. Enough Fiber: Fast food is not your primary source of fiber, but every little bit you have adds up. The more fiber you get, even if it comes from fast food, the more you can support your gut health.

    Tip: Focus on eating a total of 25 - 35 grams of fiber a day from your food. Processed food is linked to colon cancer, but by eating more fiber, you reduce your risk of colorectal cancer.

  3. Lowest Sodium/Fat Content: Eating too much sodium and saturated fats increases your risk of heart disease, but so does chemotherapy and radiation. Therefore, as a cancer survivor, it is important to practice eating heart-healthy meals to maintain a healthy life.

    Tip: For optimal heart health, eat <1500 mg of sodium a day. Too much sodium is associated with heart disease and high blood pressure.

Eating healthy at McDonald’s is easier said than done, but if you want to learn more about eating healthy after cancer

click the button below to get my free nutritional guide to learn:

  • How much protein you need to build muscle

  • How to safely lose fat and not muscle after cancer so that you can feel healthy again.

  • The benefits of eating more fiber so that you can reduce your risk of cancer

  • The healthiest foods to eat as a cancer survivor

If want to never worry again about what foods to eat click below to get your FREE nutrition guide today!


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OncoloFit is health and fitness for cancer survivors coached by JC a cancer exercise specialist and exercise physiologist

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