I live in NYC and hardly visited McDs bc there are hundreds if better burger places out here. There is a Bareburger by me, which is organic lean burgers with real cheese and you can pick a wheat bun or lettuce wrap. Obviously i would choose this place over Mcds, i do not even enjoy them. Burger does not always mean fast food. I am a foodie so quality over quantity for me. I do not plan on even attempting a burger until like 4 months out, i can hardly tolerate pureed chicken. I do believe the sleeve is the tool to teach moderation and to not deprive yourself of "no no foods", we just need to be smart.