The 90% diet adherence rule is one of the most appreciated aspects of the 75 Medium Challenge. The USDA's MyPlate guidelines emphasize balanced, sustainable eating — and unlike 75 Hard's strict "no cheat meals, no alcohol" policy, this balanced approach allows you to build sustainable eating habits while still enjoying life.
This guide will help you choose the right eating approach, understand how to use your flexibility wisely, and set yourself up for nutritional success throughout your 75-day journey. Proper hydration is also essential to your success.
Understanding the 90% Rule
The American Heart Association recommends focusing on overall dietary patterns rather than individual foods. Let's break down what 90% adherence actually means in practice:
?? The Math of 90%
- Total meals over 75 days: 225 (at 3 meals/day)
- On-plan meals (90%): 202-203 meals
- Flexible meals (10%): 22-23 meals
- Per week: ~2-3 flexible meals
What Counts as "On-Plan"?
A meal counts as on-plan when it follows the structure of your chosen diet. This doesn't mean perfection — it means intentional adherence to your guidelines.
What Counts as a "Flex Meal"?
Any meal that deliberately deviates from your plan. This could be:
- A restaurant meal without calorie tracking
- Dessert that wouldn't normally fit your macros
- A celebratory meal with family
- Food that includes ingredients you normally avoid
Important: Flex meals are planned deviations, not excuses for binging. Use them strategically for social occasions and genuine enjoyment, not emotional eating.
Choosing Your Diet Plan
The best diet is one you can follow consistently. Consider these factors:
Your Goals
- Weight loss: Focus on calorie deficit
- Muscle gain: Prioritize protein and slight surplus
- General health: Whole foods, balanced approach
- Energy: Stable blood sugar, quality carbs
Your Lifestyle
- How much time can you spend cooking?
- Do you eat out frequently?
- Are there foods you can't live without?
- Do you have dietary restrictions?
Your History
- What has worked for you before?
- What has failed and why?
- Do you have a history of disordered eating? (Consider consulting a professional)
Popular Diet Options
Calorie Counting
How it works: Track daily calories and hit a target based on your goals.
Pros: Flexible food choices, clear metrics, works for any goal
Cons: Requires tracking, can become obsessive
Best for: People who like data and structure
Macro Tracking (IIFYM)
How it works: Balance protein, carbs, and fats to specific targets
Pros: Optimizes body composition, flexible foods
Cons: More complex tracking, learning curve
Best for: Those focused on muscle gain or athletic performance
Clean Eating
How it works: Eat whole, unprocessed foods; eliminate added sugar and processed items
Pros: Simple rules, no tracking, naturally filling
Cons: Vague definition of "clean," can be restrictive
Best for: Those who dislike counting and want simple guidelines
Mediterranean Diet
How it works: Focus on vegetables, fruits, whole grains, fish, olive oil
Pros: Heart-healthy, sustainable, delicious
Cons: Not specifically designed for weight loss
Best for: Long-term health focus, enjoyable eating
Keto/Low-Carb
How it works: Under 20-50g carbs daily, high fat, moderate protein
Pros: Appetite control, steady energy, quick initial results
Cons: Restrictive, social challenges, requires adaptation
Best for: Those who do well with clear boundaries
Intermittent Fasting
How it works: Restrict eating to a window (e.g., 16:8 — eat in 8-hour window)
Pros: Simplifies meal timing, natural calorie reduction
Cons: May not suit all lifestyles, workout timing matters
Best for: Those who prefer fewer, larger meals
| Diet | Tracking Required | Restrictiveness | Best For |
|---|---|---|---|
| Calorie Counting | High | Low | Data lovers |
| Macro Tracking | High | Low | Athletes |
| Clean Eating | None | Medium | Simplicity seekers |
| Mediterranean | Low | Low | Health focus |
| Keto | Medium | High | Clear boundaries |
| Intermittent Fasting | Low | Medium | Schedule-driven |
Using Your 10% Wisely
Your flex meals are a privilege, not a free-for-all. Here's how to use them strategically:
DO:
- Plan them in advance when possible
- Save them for social occasions (birthdays, dinners with friends)
- Enjoy them without guilt
- Return to plan immediately after
- Make them count — choose food you truly enjoy
DON'T:
- Use them for emotional eating
- Cluster them all on weekends
- Let one flex meal become a flex day
- Use them as rewards for good behavior
- Waste them on food you don't even enjoy
Strategic Flex Meal Examples
- Friend's birthday dinner — enjoy the meal and cake
- Date night — order what sounds good
- Family Sunday dinner — Grandma's special recipe
- Travel day — airport food when options are limited
Alcohol Guidelines
Unlike 75 Hard, 75 Medium allows moderate alcohol consumption. However, alcohol affects your results significantly.
How Alcohol Impacts Progress:
- Empty calories with no nutritional value
- Impairs muscle recovery and growth
- Disrupts sleep quality
- Increases appetite and lowers inhibitions
- Dehydrates the body
If You Choose to Drink:
- Limit to 1-2 occasions per week maximum
- Count it as part of your flex allocation
- Choose lower-calorie options (dry wine, spirits with zero-cal mixers)
- Eat before drinking
- Drink water between alcoholic beverages
- Don't let drinking lead to poor food choices
?? Honest Assessment
If your relationship with alcohol is a concern, consider using 75 Medium as an opportunity to go alcohol-free for 75 days. Many find this one of the most valuable outcomes of the challenge.
Meal Prep Strategies
Preparation is the key to diet success. Here's how to set yourself up:
Weekly Prep Day (1-2 Hours)
- Plan your meals for the week ahead
- Create a grocery list and shop efficiently
- Prep proteins — cook chicken, ground meat, etc.
- Wash and chop vegetables
- Prepare grains — rice, quinoa, etc.
- Portion snacks into grab-and-go containers
Quick Prep Tips
- Use a slow cooker or Instant Pot for hands-off cooking
- Buy pre-cut vegetables to save time
- Cook enough protein for 4-5 days at once
- Keep frozen vegetables as backup
- Prep breakfast (overnight oats, egg muffins)
Get our complete grocery list ?
Eating Out Strategies
You don't have to avoid restaurants. Use these strategies to stay on track:
Before You Go:
- Look up the menu online
- Decide what you'll order before arriving
- Eat a small healthy snack so you're not starving
At the Restaurant:
- Order grilled, baked, or steamed options
- Ask for dressings and sauces on the side
- Sub vegetables for fries
- Skip the bread basket
- Share appetizers or desserts
- Take half home for tomorrow
Best Choices by Cuisine:
- Mexican: Fajitas (hold tortillas), burrito bowls
- Italian: Grilled protein + vegetables, salads
- Asian: Stir-fry, steamed options, sashimi
- American: Grilled chicken/fish, side salad
See detailed eating out strategies ?
Understanding Macros
Even if you're not tracking macros strictly, understanding them helps you make better choices:
Protein (4 calories/gram)
- Target: 0.7-1g per pound of body weight
- Sources: Chicken, fish, eggs, Greek yogurt, legumes
- Role: Builds muscle, keeps you full, highest thermic effect
Carbohydrates (4 calories/gram)
- Target: Varies based on activity level and diet choice
- Sources: Fruits, vegetables, whole grains, legumes
- Role: Primary energy source, brain function
Fats (9 calories/gram)
- Target: 0.3-0.5g per pound of body weight
- Sources: Olive oil, nuts, avocado, fatty fish
- Role: Hormones, satiety, nutrient absorption
Common Diet Mistakes
1. Being Too Restrictive
Extreme restriction leads to binging. The 90% rule exists because perfection isn't sustainable. Use your flexibility.
2. Not Eating Enough Protein
Protein keeps you full and preserves muscle. Most people undereat protein. Aim for a source at every meal.
3. Drinking Your Calories
Sodas, fancy coffees, juices, and alcohol add up fast. These don't fill you up but consume your calorie budget.
4. Not Planning Ahead
Without meal prep and planning, you'll rely on willpower — which runs out. Plan your week every Sunday.
5. All-or-Nothing Thinking
"I ate a cookie, so the day is ruined" is a trap. One off-plan item doesn't require abandoning the day. Move on.