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McDonald's US Strawberry Shake (Medium): calories and sugar by portion, age and sex

Boone’s analysis puts McDonald's US Strawberry Shake (Medium) at 30% of an adult’s daily calories, 14% of the daily sodium limit for a child aged 4 to 8 and 14.8 teaspoons of added sugar.

How many calories are in a McDonald's US Strawberry Shake (Medium)? It contains 600 calories, 16g of fat (10g saturated), 59g of added sugar and 210mg of sodium, one of the higher-calorie items on the menu.

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 Strawberry Shake (Medium) fits into a day.

Nutrition information

Nutrition information: McDonald's US Strawberry Shake (Medium)

Calories600
Total fat16g
of which saturated10g
Trans fat0.5g
Carbohydrate99g
Total sugars74g
Includes added sugars59g
Fibre0.3g
Protein13g
Sodium210mg

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 Strawberry Shake (Medium) contains 600 calories, which is 30% of the 2,000-calorie Daily Value used on US food labels. It provides 16g of total fat, of which 10g is saturated, 74g of total sugars (59g added), 210mg of sodium, 13g of protein and 0.3g of fibre.

The saturated fat content of 10g represents 50% of the 20g Daily Value.

McDonald's US Strawberry Shake (Medium) is assembled from 3 separately manufactured components, combined at the point of sale. The strawberry shake syrup alone carries 6 different classes of additive. Across the whole item the ingredient list names corn syrups and invert sugar, emulsifiers, thickeners and gums, flavourings, colours, preservatives, firming agents and humectants. None of these add nutritional value. They exist to make the item survive industrial production, storage and transport.

McDonald's US Strawberry Shake (Medium) is over the US per-meal added sugar limit

McDonald's US Strawberry Shake (Medium) contains 59g of added sugar, 5.9 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. It is also high in saturated fat.

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 Strawberry Shake (Medium)

59g of the 74g counts as added sugar, or about 14.8 teaspoons. The other 15g is naturally occurring.

Added sugars come from

  • sugar, corn syrup in the vanilla reduced fat ice cream
  • sugar, corn syrup in the strawberry shake syrup

Naturally occurring sugars come from

  • lactose in the vanilla reduced fat ice cream
  • lactose in the whipped light cream
  • sugars naturally present in the strawberry shake syrup

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 Strawberry Shake (Medium)

McDonald's US Strawberry Shake (Medium) is assembled from 3 separately manufactured components, combined and served at the point of sale. Reading the ingredient list closely, it contains corn syrups and invert sugar, emulsifiers, thickeners and gums, flavourings, colours, preservatives, firming agents and humectants. These are not there to add nutritional value. They make industrial production and distribution possible.

Corn syrups and invert sugar

Sweeten and control texture more cheaply than sugar alone. Found in the vanilla reduced fat ice cream and strawberry shake syrup.

Emulsifiers

Help oil-based and water-based ingredients blend and stay blended. Found in the vanilla reduced fat ice cream and whipped light cream.

Thickeners and gums

Thicken sauces, fillings and drinks and stop them separating. Found in the vanilla reduced fat ice cream and whipped light cream.

Flavourings

Add or restore taste lost during processing. Found in the vanilla reduced fat ice cream, strawberry shake syrup and whipped light cream.

Colours

Restore or standardise appearance after processing. Found in the strawberry shake syrup.

Preservatives

Slow the growth of bacteria, yeasts and moulds in centrally prepared components. Found in the strawberry shake syrup.

Firming agents

Keep processed vegetables and fruit pieces firm after packing. Found in the strawberry shake syrup.

Humectants

Keep syrups and fillings moist and stop them drying out. Found in the strawberry shake syrup.

Boone classifies McDonald's US Strawberry Shake (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 Strawberry Shake (Medium) contains at least 21 distinct ingredients: 8 raw and 13 manufactured. Ordered as a full meal with a dip and a dessert that reaches 62, of which 34 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 Strawberry Shake (Medium)

What you orderRawManufacturedTotal% manufactured
McDonald's US Strawberry Shake (Medium) on its own8132162%
McDonald's US Strawberry Shake (Medium) + medium fries12172959%
McDonald's US Strawberry Shake (Medium) + fries + a dip21244553%
McDonald's US Strawberry Shake (Medium) + fries + dip + a medium Coca-Cola22264854%
McDonald's US Strawberry Shake (Medium) + fries + dip + drink + an OREO McFlurry28346255%

The 13 manufactured ingredients

beta carotene, calcium chloride, carrageenan, cellulose gum, citric acid, corn syrup, glycerin, guar gum, mono and diglycerides, natural flavor, pectin, potassium sorbate, vitamin a palmitate.

The 8 raw ingredients

cream, milk, salt, strawberries, strawberry puree concentrate, sugar, vegetable juice, water.

What those ingredients are, by type

Other additives and processing aids7
Fruit, vegetables and nuts3
Meat, fish, dairy and eggs2
Sugars and syrups2
Salt and minerals2
Flavourings and extracts1
Vitamins and fortification1
Water1
Colours1
Acids and acidity regulators1

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 Strawberry Shake (Medium) is assembled from 3 separately manufactured components.

Ingredients by component: McDonald's US Strawberry Shake (Medium)

Vanilla reduced fat ice cream

Milk, Sugar, Cream, Corn Syrup, Natural Flavor, Mono And Diglycerides, Cellulose Gum, Guar Gum, Carrageenan, Vitamin A Palmitate.

Strawberry shake syrup

Sugar, Strawberries, Corn Syrup, Glycerin, Strawberry Puree Concentrate, Water, Contains 2% Or Less: Natural Flavor, Vegetable Juice And Beta Carotene (color), Citric Acid, Pectin, Salt, Potassium Sorbate (preservative), Calcium Chloride.

Whipped light cream

Cream, Nonfat Milk, Milk, Liquid Sugar, Contains 2% Or Less: Mono And Diglycerides, Natural Flavors, Carrageenan. Whipping Propellant (nitrous Oxide).

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 Strawberry Shake (Medium) contains milk.

Allergen information: McDonald's US Strawberry Shake (Medium)

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

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 Strawberry Shake (Medium)?+

Boone calculates that McDonald's US Strawberry Shake (Medium) contains 600 calories, which is 30% of the 2,000-calorie Daily Value and 40% of the daily needs of a moderately active child aged 4 to 8.

How much added sugar is in a McDonald's US Strawberry Shake (Medium)?+

Boone calculates that McDonald's US Strawberry Shake (Medium) contains 59g of added sugar, about 14.8 teaspoons, which is 118% of the 50g FDA Daily Value.

Is McDonald's US Strawberry Shake (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 59g of added sugar, McDonald's US Strawberry Shake (Medium) is over both.

How much saturated fat is in a McDonald's US Strawberry Shake (Medium)?+

McDonald's US Strawberry Shake (Medium) contains 10g of saturated fat. Boone calculates this as 50% of the 20g Daily Value and 59% of the 17g limit for a child aged 4 to 8.

How much sodium is in a McDonald's US Strawberry Shake (Medium)?+

McDonald's US Strawberry Shake (Medium) contains 210mg of sodium. Boone calculates that as 14% of the daily limit for a child aged 4 to 8 and 9% of the 2,300mg adult limit.

Is McDonald's US Strawberry Shake (Medium) ultra-processed?+

Boone classifies McDonald's US Strawberry Shake (Medium) as NOVA group 4. Reading the published ingredient list, it is assembled from 3 separately manufactured components and contains corn syrups and invert sugar, emulsifiers, thickeners and gums, flavourings, colours, preservatives, firming agents and humectants. 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 Strawberry Shake (Medium)?+

McDonald's US Strawberry Shake (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 Strawberry Shake (Medium) suitable for children?+

Boone’s analysis flags that its 59g of added sugar is above the Dietary Guidelines advice of no added sugar for children aged 10 and under; its 10g of saturated fat is 59% of their daily limit. That does not make it off limits, but it does mean a Strawberry Shake (Medium) uses up a large share of a young child’s day in one item.

How much protein is in a McDonald's US Strawberry Shake (Medium)?+

McDonald's US Strawberry Shake (Medium) contains 13g of protein, which Boone calculates as 26% of the 50g Daily Value.