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  1. News Release

  2. Apr 20, 2026

Consumer Alert: New McDonald’s McValue Menu Items Could Take a Toll on Your Health, Warns Doctors Group

WASHINGTON, D.C. — As McDonald’s adds its Sausage McMuffin, McChicken, McDouble, and other items to its McValue Menu on April 21,1 the Physicians Committee for Responsible Medicine is warning consumers in a new report that sausage, chicken, cheeseburgers, and other fast food high in cholesterol and saturated fat can take a toll on their health.

“Everyone is trying to stretch their food dollars in these uncertain economic times,” says Emily Perryman, MS, RDN, nutrition education coordinator for the Physicians Committee for Responsible Medicine, “but if you value your health, you should avoid fast-food meals containing sausage, chicken, red meat, and other animal products, or you could pay the price by increasing your risk of costly health conditions like heart disease, diabetes, and certain cancers.”

New Items Being Added to the McDonald’s McValue Menu

Breakfast MenuCaloriesTotal FatSaturated FatCholesterol  Sodium
Sausage McMuffin240026 g10 g (51% daily value)55 mg760 mg
Sausage Biscuit346030 g13 g (66% daily value)35 mg1,090 mg
Sausage Burrito431017 g7 g (36% daily value)170 mg800 mg
Lunch or Dinner
McChicken539021 g3.5 g (18% daily value)40 mg560 mg
McDouble639020 g9 g (45% daily value)70 mg920 mg
4-Piece Chicken McNuggets717010 g1.5 g (8% daily value)25 mg340 mg

Sausage

In 2015, the International Agency for Research on Cancer, which is part of the World Health Organization, classified processed meat—such as sausage, bacon, and deli meat—as “‘carcinogenic to humans’ (Group 1) on the basis of sufficient evidence for colorectal cancer” after 22 experts from 10 countries assessed more than 800 epidemiological studies.8 The experts highlighted a meta-analysis that concluded that each 50-gram portion of processed meat (about the size of a sausage patty) eaten daily increases the relative risk of colorectal cancer by 18%.

Of particular concern is the rise in colorectal cancer among younger people. An American Cancer Society study published in JAMA in 2026 found that colorectal cancer is now the leading cause of cancer death for people under 50.9 Research recently published in Nutrition and Cancer found that those under the age of 50 who were diagnosed with colorectal cancer were more likely to consume higher amounts of processed meat and lower amounts of fruit and vegetables compared with those diagnosed over the age of 50 years.10

Chicken

Research shows that eating fried chicken is associated with a greater risk of death from heart disease. A study published in BMJ found that women who ate fried chicken once or more per day had a 13% higher risk of death from any cause compared with women who did not eat any fried food and a 12% increased risk of death from heart disease.11 The authors of the study say that “reducing the consumption of fried foods, especially fried chicken ... could have a clinically meaningful effect across the public health spectrum.”

Cancer is another concern. A recent study found that eating 300 grams of poultry, such as chicken, per week was linked to an increased risk of gastrointestinal cancer and death from all causes.12 The authors note that cooking poultry at high temperatures may play a role in the increased cancer risk.

Eggs

Dietary cholesterol—found only in animal products, including eggs—has been strongly linked to an increase in blood cholesterol.13,14 A high level of LDL “bad” cholesterol in the blood increases one’s risk of heart disease and stroke.15

Eating eggs increases the risk of dying from heart disease, according to research published in Circulation.16 Researchers compared egg and cholesterol consumption and blood cholesterol levels with death from cardiovascular disease in more than 27,000 participants and conducted a systematic review of existing research. Eating one egg per day significantly increased the risk of dying from heart disease.

New dietary guidelines from the American Heart Association state that “heart-healthy dietary patterns are low in foods high in cholesterol such as fatty cuts of meat and foods typically eaten with eggs such as processed meats (sausage or bacon).”17

Research published in the British Journal of Nutrition has also shown that consuming one or more eggs per day may increase the risk of diabetes by 60%.18

Saturated Fat

Eating too much saturated fat can raise the level of LDL cholesterol in the blood. Several items on the McDonald’s McValue menu contain more than five times the amount of saturated fat recommended by the 2025-2030 Dietary Guidelines for Americans, which say, “In general, saturated fat consumption should not exceed 10% of total daily calories.”19

Sodium

More than 70% of sodium in the American diet comes from processed and restaurant foods, according to the AHA, which says that diets high in sodium increase the risk for high blood pressure, heart failure, stroke, kidney disease, and other conditions.20 The current Dietary Guidelines say that “highly processed foods that are high in sodium should be avoided.”21

Salt is a common preservative used in processed meat production, and the Sausage Biscuit contains a whopping 1,090 milligrams of sodium, which is more than two-thirds of the recommended daily limit for individuals with chronic health conditions.  

Cost-Effective Alternatives

Perryman recommends instead looking for cost-effective and healthful fast-food menu items like a bagel with peanut butter or a fruit cup for breakfast and a garden salad, bean burrito without dairy, or veggie sub for lunch or dinner.

“Look for fiber-rich plant-based menu items made with healthy basics—like oatmeal, beans, and veggies—that will fill you up and boost your health without breaking the bank,” says Perryman.

Choosing plant-based items at the grocery store and preparing meals at home can also help cut costs. Physicians Committee for Responsible Medicine research published in JAMA Network Open in 2024 showed a low-fat vegan diet reduced grocery costs by 19% when compared with a Standard American Diet that included meat, dairy, and other animal products.22

Following a plant-based diet can help people reach their health goals including improving heart health,23 reducing cancer risk24 (including colorectal cancer25), and improving type 2 diabetes.26

References

  1. McDonald’s. McDonald’s USA Introduces New Under $3 Menu and $4 Breakfast Meal Deal to the McValue Menu. April 20, 2026. Accessed April 20, 2026. https://corporate.mcdonalds.com/corpmcd/our-stories/article/mcdolands-usa-introduces-mcvalue.html
  2. McDonald’s. Sausage McMuffin. Accessed April 20, 2026. https://www.mcdonalds.com/us/en-us/product/sausage-mcmuffin.html#accordion-c921f9207b-item-842cb18782
  3. McDonald’s. Sausage Biscuit. Accessed April 20, 2026. https://www.mcdonalds.com/us/en-us/product/sausage-biscuit.html#accordion-c921f9207b-item-842cb18782
  4. McDonald’s. Sausage Burrito. Accessed April 20, 2026. https://www.mcdonalds.com/us/en-us/product/sausage-burrito.html#accordion-c921f9207b-item-842cb18782
  5. McDonald’s. McChicken. Accessed April 20, 2026. https://www.mcdonalds.com/us/en-us/product/mcchicken.html#accordion-c921f9207b-item-842cb18782
  6. McDonald’s. McDouble. Accessed April 20, 2026. https://www.mcdonalds.com/us/en-us/product/mcdouble.html#accordion-c921f9207b-item-842cb18782
  7. McDonald’s. 4-Piece Chicken McNuggets. Accessed April 20, 2026. https://www.mcdonalds.com/us/en-us/product/chicken-mcnuggets-4-piece.html#accordion-c921f9207b-item-842cb18782
  8. World Health Organization International Agency for Research on Cancer. IARC monographs
    evaluate consumption of red meat and processed meat. October 26, 2015. Accessed April 7, 2026. https://www.iarc.who.int/wp-content/uploads/2018/07/pr240_E.pdf
  9. Siegel RL, Wagle NS, Jemal A. Leading cancer deaths in people younger than 50 years.
    JAMA. 2026;335(7):632-634. doi:10.1001/jama.2025.25467
  10. Burnett-Hartman AN, Ton M, He Q, et al. Dietary factors differ between young-onset and older-onset colorectal cancer patients. Nutr Cancer. 2024;76(4):352-355. doi:10.1080/01635581.2024.2316934
  11. Sun Y, Liu B, Snetselaar LG, et al. Association of fried food consumption with all cause, cardiovascular, and cancer mortality: prospective cohort study. BMJ. 2019;364:k5420. doi:10.1136/bmj.k5420
  12. Bonfiglio C, Tatoli R, Donghia R, Pesole PL, Giannelli G. Does poultry consumption increase the risk of mortality for gastrointestinal cancers? A preliminary competing risk analysis. Nutrients. 2025;17(8):1370. doi:10.3390/nu17081370
  13. Khalighi Sikaroudi M, Soltani S, Kolahdouz-Mohammadi R, et al. The responses of different dosages of egg consumption on blood lipid profile: an updated systematic review and meta-analysis of randomized clinical trials. J Food Biochem. 2020;44(8):e13263. doi:10.1111/jfbc.13263
  14. Zhao B, Gan L, Graubard BI, Männistö S, Albanes D, Huang J. Associations of dietary cholesterol, serum cholesterol, and egg consumption with overall and cause-specific mortality: systematic review and updated meta-analysis. Circulation. 2022;145(20):1506-1520. doi:10.1161/CIRCULATIONAHA.121.057642
  15. American Heart Association. Saturated Fats. August 23, 2024. Accessed April 8, 2026. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/saturated-fats
  16. Zhao B, Gan L, Graubard BI, Männistö S, Albanes D, Huang J. Associations of dietary cholesterol, serum cholesterol, and egg consumption with overall and cause-specific mortality: systematic review and updated meta-analysis. Circulation. 2022;145(20):1506-1520. doi:10.1161/CIRCULATIONAHA.121.057642
  17. Lichtenstein AH, Khera A, Anderson CAM, et al. 2026 dietary guidance to improve cardiovascular health: a scientific statement from the American Heart Association. Circulation. Published online March 31, 2026. doi:10.1161/CIR.0000000000001435
  18. Wang Y, Li M, Shi Z. Higher egg consumption associated with increased risk of diabetes in Chinese adults – China Health and Nutrition Survey. Br J Nutr. 2021;126(1):110-117. doi:10.1017/S0007114520003955
  19. Department of Health and Human Services and U.S. Department of Agriculture. 2025-2030 Dietary Guidelines for Americans. January 2026. Accessed April 13, 2026. https://www.dietaryguidelines.gov/
  20. American Heart Association. Effects of Excess Sodium Infographic. 2022. Accessed April 14, 2026. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/effects-of-excess-sodium-infographic
  21. Department of Health and Human Services and U.S. Department of Agriculture. 2025-2030 Dietary Guidelines for Americans. January 2026. Accessed April 13, 2026. https://www.dietaryguidelines.gov/
  22. Kahleova H, Sutton M, Maracine C, et al. Food costs of a low-fat vegan diet vs a Mediterranean diet: a secondary analysis of a randomized clinical trial. JAMA Netw Open. 2024;7(11):e2445784. doi:10.1001/jamanetworkopen.2024.45784
  23. Kahleova H, Levin S, Barnard ND. Vegetarian dietary patterns and cardiovascular disease. Prog Cardiovasc Dis. 2018;61(1):54-61. doi:10.1016/j.pcad.2018.05.002
  24. Aune D, Schlesinger S, Sobiecki JG. Vegetarian and vegan diets and cancer incidence: a systematic review and meta-analysis of prospective studies. Eur J Epidemiol. 2026. doi:10.1007/s10654-026-01380-8
  25. Kim J, Boushey CJ, Wilkens LR, Haiman CA, Le Marchand L, Park SY. Plant-based dietary patterns defined by a priori indices and colorectal cancer risk by sex and race/ethnicity: the Multiethnic Cohort Study. BMC Med. 2022;20(1):430-444. doi:10.1186/s12916-022-02623-7
  26. Jardine MA, Kahleova H, Levin SM, Ali Z, Trapp CB, Barnard ND. Perspective: plant-based eating pattern for type 2 diabetes prevention and treatment: efficacy, mechanisms, and practical considerations. Adv Nutr. 2021;12(6):2045-2055. doi:10.1093/advances/nmab063

Media Contact

Michael Keevican

202-527-7367

mkeevican[at]pcrm.org

Founded in 1985, the Physicians Committee for Responsible Medicine is a nonprofit organization that promotes preventive medicine, conducts clinical research, and encourages higher standards for ethics and effectiveness in education and research.

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