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What Do You Eat on a Medifast Diet? A Guide to Fuelings and Lean & Green Meals

4 min read

A Johns Hopkins study found that participants on a meal replacement program like Medifast lost significantly more weight than those on a standard diet. This low-calorie approach centers on a specific mix of proprietary foods and one prepared meal daily.

Quick Summary

The Medifast diet combines five branded Fuelings and one self-prepared Lean & Green meal. Fuelings include shakes and bars, while the meal features lean protein and vegetables.

Key Points

  • Balanced Meals: The diet combines proprietary, nutritionally-balanced Fuelings with one self-prepared Lean & Green meal daily.

  • Portion Control: Medifast's structure removes the need for calorie counting by providing pre-portioned, controlled Fuelings.

  • Lean & Green Focus: The single prepared meal must consist of lean protein and non-starchy vegetables, with limited healthy fats.

  • Low-Calorie Intake: The active weight-loss phase limits daily calories to 800–1,000 kcal, which promotes a fat-burning state.

  • Phased Approach: The program includes a specific weight-loss phase followed by a transition phase that reintroduces more foods.

  • Brand Evolution: Medifast has evolved into the OPTAVIA program, which follows the same core principles and offers updated Fuelings.

  • Nutrient-Dense: Despite the low calories, Fuelings are fortified with vitamins and minerals to help meet nutritional needs.

In This Article

The Medifast diet, now often referred to as the OPTAVIA program, is a structured, low-calorie weight-loss plan that combines proprietary meal replacements with one homemade meal. The strategy behind the diet is to place the body in a gentle, fat-burning state through consistent, portion-controlled nutrition, promoting rapid weight loss. Understanding the specific foods and structure is crucial for success.

The Two Main Components: Fuelings and Lean & Green

The core of the most common Medifast program, the Optimal Weight 5&1 Plan, revolves around eating six times per day. This consists of five nutritionally balanced "Fuelings" (the branded meal replacements) and one self-prepared "Lean & Green" meal. The frequent meals, eaten every 2–3 hours, are designed to keep hunger at bay and blood sugar levels stable, which can be a challenge on other low-calorie diets.

What Are Medifast Fuelings?

Medifast Fuelings are the cornerstone of the program's simplicity and structure. They are scientifically developed, portion-controlled products formulated with high-quality protein and 24 vitamins and minerals. These products offer convenience and consistency, eliminating the guesswork of meal preparation for five meals a day. While their content has been updated and the brand name shifted to OPTAVIA, the foundational product types remain consistent.

Some examples of Fuelings include:

  • Shakes: A wide variety of flavors, often soy-based and heart-healthy.
  • Bars: A portable and satisfying option, though dieters are advised to limit themselves to one per day due to higher calorie content.
  • Soups and Chili: Hearty and savory options that can feel more like a traditional meal.
  • Oatmeal: A warm breakfast alternative.
  • Puddings and Eggs: Other choices that add variety to the daily menu.

Building Your Lean & Green Meal

The Lean & Green meal is the one prepared meal you'll eat each day, providing an opportunity for fresh, whole foods. It is designed to be high in protein and low in carbohydrates, supporting the fat-burning state. A standard Lean & Green meal is typically built around the following components:

  • Lean Protein: A cooked portion of 5 to 7 ounces, depending on the protein source. Examples include:
    • Leanest: Chicken breast, turkey breast, cod, flounder, shrimp.
    • Leaner: Salmon, swordfish, 95% lean ground turkey, eggs.
    • Lean: Lean beef, lamb, pork chop, 85%–94% lean ground beef.
  • Green Vegetables: Three servings of non-starchy vegetables. A serving is generally ½ cup cooked or 1 cup raw. Examples include:
    • Lettuce, spinach, cucumber, celery, bell peppers, broccoli, cauliflower, mushrooms, asparagus, zucchini.
  • Healthy Fats (Optional): Up to two servings depending on the protein choice. Examples include:
    • Small amounts of nuts (½ oz), avocado (⅛), or healthy oils.

Foods to Include and Avoid

During the active weight loss phase, strict adherence is necessary to achieve the desired results. Understanding which foods are permissible and which are not is key to staying on track. The table below provides a quick reference.

Allowed (Weight-Loss Phase) Avoided (Weight-Loss Phase)
All Medifast/OPTAVIA Fuelings Sugary beverages, including most fruit juices
Lean protein (chicken, fish, eggs) Alcohol of all kinds
Non-starchy vegetables (greens, broccoli) Starchy vegetables (potatoes, corn, carrots)
Low-carb condiments (mustard, spices) Creamy dressings, high-sugar sauces
Sugar-free gelatin, gum (in moderation) High-fat dairy (cheese, full-fat yogurt)
Water, black coffee, unsweetened tea Most fruits and high-carb foods
Healthy fats (small portions) Fried foods and processed snacks

A Sample Daily Medifast Meal Plan

A typical day on the Optimal Weight 5&1 Plan might look like this, with five Fuelings interspersed with your Lean & Green meal and plenty of water.

  • Morning: Medifast Oatmeal Fueling
  • Mid-Morning: Medifast Shake Fueling
  • Noon: Medifast Soup Fueling
  • Afternoon: Medifast Bar Fueling
  • Evening: Lean & Green Meal (e.g., 5 oz grilled chicken breast with 1.5 cups steamed broccoli and 1 cup of spinach salad)
  • Late Evening: Medifast Pudding Fueling

The Transition to Maintenance

Once the weight-loss goal is reached, the diet shifts into a transition and maintenance phase. During this time, calories are gradually increased, and a wider variety of foods are reintroduced. This includes adding fruits, low-fat dairy, and whole grains back into the diet. The goal is to slowly adjust eating habits to a sustainable, healthy pattern to maintain the achieved weight loss long-term.

Conclusion

Eating on a Medifast diet primarily involves a structured regimen of five branded, portion-controlled Fuelings and one nutritious, homemade Lean & Green meal each day. The diet simplifies weight loss by providing convenient meal replacements and clear guidelines for the single prepared meal, focusing on lean protein and non-starchy vegetables. Success depends on adhering to the plan's strict framework during the initial weight-loss phase, which effectively controls calorie intake and promotes a gentle fat-burning state. As the brand has evolved into OPTAVIA, the core principles of using proprietary Fuelings and preparing Lean & Green meals for a simple and effective weight loss journey remain the same. The ultimate objective is to leverage this structured period to establish healthier eating patterns that can be sustained through the program's maintenance phase for lasting results. For more information and specific recipes, you can consult the official OPTAVIA Lean & Green Meal Resources.

Frequently Asked Questions

Yes, but caffeine should be limited, often to a few servings per day, as the low-calorie intake can increase sensitivity.

Alcohol is strongly discouraged during the weight-loss phase as it adds empty calories and can stimulate appetite.

Fuelings are the proprietary, portion-controlled Medifast (now OPTAVIA) products like shakes, bars, and soups, designed to be nutritionally balanced.

A self-prepared meal consisting of 5–7 ounces of cooked lean protein, 3 servings of non-starchy vegetables, and optional healthy fats, depending on the protein source.

In the main weight-loss phase, most fruits are restricted due to their carbohydrate content. They are reintroduced during the transition and maintenance phases.

Yes, it is possible to eat at restaurants by choosing meals that adhere to the Lean & Green guidelines, focusing on lean protein and non-starchy vegetables.

Yes, there are vegetarian-friendly Fuelings and the Lean & Green meal can be adapted using non-meat protein sources like tofu, egg whites, or cottage cheese.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.