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McDonald's US Mango Pineapple Refresher (Medium): calories and sugar by portion, age and sex

Boone’s analysis puts McDonald's US Mango Pineapple Refresher (Medium) at 12% of an adult’s daily calories, 4% of the daily sodium limit for a child aged 4 to 8 and 11.2 teaspoons of added sugar.

How many calories are in a McDonald's US Mango Pineapple Refresher (Medium)? It contains 250 calories, 0g of fat (0g saturated), 45g of added sugar and 55mg of sodium.

Build a full meal with our nutrition calculator

Use the Boone meal calculator to build a full meal rather than view this item on its own. Add fries, a drink, dips and a dessert, then choose your age and sex, and switch between US and UK guidance, for a more accurate view of how a Mango Pineapple Refresher (Medium) fits into a day.

Nutrition information

Nutrition information: McDonald's US Mango Pineapple Refresher (Medium)

Calories250
Total fat0g
of which saturated0g
Trans fat0g
Carbohydrate58g
Total sugars52g
Includes added sugars45g
Fibre0.3g
Protein0g
Sodium55mg
Caffeine60mg

Nutrition figures are McDonald’s USA published data, per item as sold and before any optional sauces or extras. Boone converts them to the portion and age comparisons on this page.

McDonald's US Mango Pineapple Refresher (Medium) contains 250 calories, which is 12% of the 2,000-calorie Daily Value used on US food labels. It provides 0g of total fat, of which 0g is saturated, 52g of total sugars (45g added), 55mg of sodium, 0g of protein and 0.3g of fibre.

McDonald's US Mango Pineapple Refresher (Medium) is assembled from 3 separately manufactured components, combined at the point of sale. The mango pineapple refresher mix alone carries 5 different classes of additive. Across the whole item the ingredient list names thickeners and gums, flavourings, colours, preservatives, phosphates and raising agents and firming agents. None of these add nutritional value. They exist to make the item survive industrial production, storage and transport.

McDonald's US Mango Pineapple Refresher (Medium) is over the US per-meal added sugar limit

McDonald's US Mango Pineapple Refresher (Medium) contains 45g of added sugar, 4.5 times the 10g per-meal limit in the Dietary Guidelines for Americans. The same guidelines recommend no added sugar at all for children aged 10 and under.

FDA Daily Values (2,000-calorie diet)

Calories2,000
Total fat78g
Saturated fat20g
Carbohydrate275g
Added sugars50g
Fibre28g
Sodium2,300mg
Protein50g

Added sugar vs total sugar

Where the sugar comes from: McDonald's US Mango Pineapple Refresher (Medium)

45g of the 52g counts as added sugar, or about 11.2 teaspoons. The other 7g is naturally occurring. Under UK rules, sugar from juice, purée and concentrate is counted too, which makes 52g of free sugar.

Added sugars come from

  • sugar, grape juice concentrate, lemon juice concentrate, passion fruit juice concentrate, pineapple juice concentrate in the mango pineapple refresher mix
  • sugar, lemon juice concentrate in the lemonade base
  • sugar, apple juice concentrate in the strawberry burstees

Naturally occurring sugars come from

  • sugars naturally present in the mango pineapple refresher mix
  • sugars naturally present in the lemonade base
  • sugars naturally present in the strawberry burstees

Dietary Guidelines for Americans, 2025–2030: no more than 10g of added sugar per meal from age 11 and none for children aged 10 and under. FDA Daily Value: 50g a day. Sources are read from the published ingredient list for each component.

Ultra-processed food: what is really in it

Processing and additives: McDonald's US Mango Pineapple Refresher (Medium)

McDonald's US Mango Pineapple Refresher (Medium) is assembled from 3 separately manufactured components, combined and served at the point of sale. Reading the ingredient list closely, it contains thickeners and gums, flavourings, colours, preservatives, phosphates and raising agents and firming agents. These are not there to add nutritional value. They make industrial production and distribution possible.

Thickeners and gums

Thicken sauces, fillings and drinks and stop them separating. Found in the mango pineapple refresher mix and strawberry burstees.

Flavourings

Add or restore taste lost during processing. Found in the mango pineapple refresher mix, lemonade base and strawberry burstees.

Colours

Restore or standardise appearance after processing. Found in the mango pineapple refresher mix.

Preservatives

Slow the growth of bacteria, yeasts and moulds in centrally prepared components. Found in the mango pineapple refresher mix and lemonade base.

Phosphates and raising agents

Hold moisture in meat, control acidity or make batters and doughs rise. Found in the strawberry burstees.

Firming agents

Keep processed vegetables and fruit pieces firm after packing. Found in the mango pineapple refresher mix.

Boone classifies McDonald's US Mango Pineapple Refresher (Medium) as NOVA group 4, ultra-processed, based on the additives named above. NOVA groups foods by how far they are from their whole-food form, not by how nutritious they are. A group 4 food is not automatically unhealthy, and a group 1 food is not automatically healthy. Read from the published ingredient list, September 2026.

McDonald's US Mango Pineapple Refresher (Medium) contains at least 26 distinct ingredients: 11 raw and 15 manufactured. Ordered as a full meal with a dip and a dessert that reaches 72, of which 38 are manufactured. Raw means something you could buy and cook with at home; manufactured means a substance that only exists as an output of industrial processing.

Ingredient count by order: McDonald's US Mango Pineapple Refresher (Medium)

What you orderRawManufacturedTotal% manufactured
McDonald's US Mango Pineapple Refresher (Medium) on its own11152658%
McDonald's US Mango Pineapple Refresher (Medium) + medium fries16193554%
McDonald's US Mango Pineapple Refresher (Medium) + fries + a dip25244949%
McDonald's US Mango Pineapple Refresher (Medium) + fries + dip + a medium Coca-Cola26265250%
McDonald's US Mango Pineapple Refresher (Medium) + fries + dip + drink + an OREO McFlurry34387253%

The 15 manufactured ingredients

annatto extract, calcium chloride, calcium lactate, cellulose gum, citric acid, dl-malic acid, green coffee extract, guar gum, natural flavor, pectin, potassium sorbate, sodium alginate, sodium benzoate, whole coffee extract, xanthan gum.

The 11 raw ingredients

apple juice concentrate, grape juice concentrate, lemon juice concentrate, mango puree concentrate, passion fruit juice concentrate, pineapple juice concentrate, purple sweet potato juice, sugar, tangerine concentrate, turmeric, water.

What those ingredients are, by type

Fruit, vegetables and nuts8
Other additives and processing aids8
Flavourings and extracts4
Acids and acidity regulators2
Water1
Sugars and syrups1
Salt and minerals1
Herbs and spices1

Boone counts every distinct named ingredient on McDonald’s published component lists, including sub-ingredients, and removes duplicates, so salt appearing in four components counts once. Additive class names are dropped and the named substance kept, so “leavening (baking soda)” counts baking soda once. Ice and water added at the counter are not counted. Raw covers whole foods and basic kitchen staples such as flour, sugar, salt and oil. Manufactured covers substances that only exist as an output of industrial processing. Every figure here is a minimum. The build uses a Sweet ’n Sour sauce.

Ingredients

McDonald's US Mango Pineapple Refresher (Medium) is assembled from 3 separately manufactured components.

Ingredients by component: McDonald's US Mango Pineapple Refresher (Medium)

Water

Water.

Ice

Ice.

Mango pineapple refresher mix

Sugar, Water, Grape Juice Concentrate, Mango Puree Concentrate, Tangerine Concentrate, Lemon Juice Concentrate, Contains 2% Or Less Of Passion Fruit Juice Concentrate, Pineapple Juice Concentrate, Natural Flavors, Citric Acid, Whole Coffee Extract, Green Coffee Extract, Pectin, Xanthan Gum, Calcium Chloride, Annatto Extract (color), Sodium Benzoate & Potassium Sorbate (as Preservatives).

Lemonade base

Sugar, Water, Lemon Juice Concentrate, Citric Acid, Natural Flavor, Potassium Sorbate And Sodium Benzoate (as Preservatives).

Strawberry burstees

Water, Sugar, Calcium Lactate, Apple Juice Concentrate, DL-malic Acid, Purple Sweet Potato Juice, Cellulose Gum, Guar Gum, Natural Flavor, Sodium Alginate, Turmeric.

Ingredients taken from the McDonald’s USA product pages, retrieved September 2026, with obvious spelling errors corrected. Recipes change - always check in restaurant before ordering if you have an allergy.

Allergens at a glance

McDonald's US Mango Pineapple Refresher (Medium) does not declare any of the nine major US allergens.

Allergen information: McDonald's US Mango Pineapple Refresher (Medium)

AllergenStatus
MilkNot declared
EggsNot declared
FishNot declared
Crustacean shellfishNot declared
Tree nutsNot declared
PeanutsNot declared
WheatNot declared
SoybeansNot declared
SesameNot declared

Contains caffeine (60mg, as published). Contains = declared by McDonald’s USA. May contain = McDonald’s states the allergen may be present. McDonald’s prepares food in shared kitchens, so no item can be guaranteed allergen free. UK rules also require barley, oats, mustard, celery and sulphites to be declared; these are shown where the ingredient list names them. Retrieved September 2026.

Frequently asked questions

How many calories are in a McDonald's US Mango Pineapple Refresher (Medium)?+

Boone calculates that McDonald's US Mango Pineapple Refresher (Medium) contains 250 calories, which is 12% of the 2,000-calorie Daily Value and 17% of the daily needs of a moderately active child aged 4 to 8.

How much added sugar is in a McDonald's US Mango Pineapple Refresher (Medium)?+

Boone calculates that McDonald's US Mango Pineapple Refresher (Medium) contains 45g of added sugar, about 11.2 teaspoons, which is 90% of the 50g FDA Daily Value.

Is McDonald's US Mango Pineapple Refresher (Medium) within US sugar guidance for children?+

The Dietary Guidelines for Americans, 2025–2030 recommend no added sugar for children aged 10 and under and no more than 10g per meal from age 11. With 45g of added sugar, McDonald's US Mango Pineapple Refresher (Medium) is over both.

How much sodium is in a McDonald's US Mango Pineapple Refresher (Medium)?+

McDonald's US Mango Pineapple Refresher (Medium) contains 55mg of sodium. Boone calculates that as 4% of the daily limit for a child aged 4 to 8 and 2% of the 2,300mg adult limit.

Is McDonald's US Mango Pineapple Refresher (Medium) ultra-processed?+

Boone classifies McDonald's US Mango Pineapple Refresher (Medium) as NOVA group 4. Reading the published ingredient list, it is assembled from 3 separately manufactured components and contains thickeners and gums, flavourings, colours, preservatives, phosphates and raising agents and firming agents. NOVA group 4 describes how far a food is from its whole-food form, not how nutritious it is.

How much fibre is in a McDonald's US Mango Pineapple Refresher (Medium)?+

McDonald's US Mango Pineapple Refresher (Medium) contains 0.3g of fibre. Boone calculates that as 1% of the 28g Daily Value and 1% of the 21g target for a child aged 4 to 8. Fibre is a target to reach rather than a limit to stay under.

Is McDonald's US Mango Pineapple Refresher (Medium) suitable for children?+

Boone’s analysis flags that its 45g of added sugar is above the Dietary Guidelines advice of no added sugar for children aged 10 and under; it contains caffeine. That does not make it off limits, but it does mean a Mango Pineapple Refresher (Medium) uses up a large share of a young child’s day in one item.

Does McDonald's US Mango Pineapple Refresher (Medium) contain caffeine?+

Yes. McDonald’s USA publishes 60mg of caffeine for McDonald's US Mango Pineapple Refresher (Medium), from the coffee fruit and green coffee extracts in the refresher base.