The Best Meal Delivery Services for Weight Loss in 2023

Erin Chancer
Written by

healthy meals

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If you are looking for a meal service that allows you to eat delicious meals while maintaining or improving your physical appearance or well-being, there are many options available today. Choosing a meal delivery service that fits both your dietary and preference needs can be challenging, especially with so many options available, such as keto, vegetarian, or plant-based. There are many well-known meal delivery services that send you all of the ingredients and preparation instructions so you can easily prepare a fresh meal in your own kitchen. However, not everyone has the time or skills to do so, and some of us want ready-to-eat meals that taste delicious and can simply be reheated before we head out the door to resume our busy lives.

The Best Meal Delivery Services for Weight Loss - Our Top Picks

Searching for the best meal delivery services for weight loss can seem like an overwhelming task, so here at ACTIVE we have done the work for you. We have provided you with a list of the top meal delivery services for weight loss that offer either fresh or frozen prepared meals that you can reheat at your own convenience or take on the go.

Why Trust Us?

The health and safety of ACTIVE's readers is of the utmost importance to us. To ensure your well-being when consuming food products, the ACTIVE.com editorial team prioritizes products that rank high in nutritional value. We've consulted with a team of nutritionists and dietitians to ensure the products we feature are of the highest standard. This helps us create the most accurate, authentic review content for our readers.

Disclaimer: Always make sure to consult with your doctor before starting a new diet. Any weight lost that totals more than 1 pound per week over a long period of time is unusual and should be monitored by a doctor.

Best Overall Meal Delivery Service for Weight Loss - Diet-to-Go

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SPECS

  • Price per serving: Varies; 8 entrees $14.45/meal
  • Meals per week: 2-3 meals per day; 5-7 meals per week
  • Menus: Balance, Balance-Diabetes, Keto-Carb30, Vegetarian, Mediterranean
  • Membership options: Pause or restart subscription week by week

60% OFF DIET-TO-GO

Diet-to-Go offers meals that are prepared by chefs and delivered weekly. You can pick your favorite meals and have your menu personalized to best fit your preferences. One major perk is that you can switch which plan you want to follow as well as pause and start your delivery as needed by going to your online account. If you do not wish to make changes, your meals will continue to be automatically delivered each week and are delivered fresh to your door ready to be reheated in just two-to-three minutes.

There are five main menu options available: balance, balance diabetes, keto-carb30, vegetarian, and Mediterranean. All menus are healthy, portion controlled, and allow customers access to expert support staff and tools. Extras like fruits, sides, and condiments are included in your shipments so that you do not need to do additional shopping. Diet-to-Go is a popular meal delivery service option for pre-diabetics or people looking to follow a very calorie-controlled and nutritionally balanced diet. If you are someone who needs a lot of restrictions when it comes to your diet and has a hard time following those restrictions when preparing your own meals, then this is a great option for you.

Keep in mind that these meals might not be a great fit for someone with a very active lifestyle given the very calorie-controlled portions.

What We Like

  • Option to exclude seafood
  • Separate male and female calorie options
  • 4 different meal categories
  • Team of health professionals, including a registered dietitian, nutritionist, and certified health coach available to support you and your goals

What We Don't Like

  • $19.98 shipping cost
  • Cannot customize menu before submitting order
  • Only 1 set calorie plan per gender, which might not be enough for many people
  • Not a long-term sustainable weight loss or maintenance option

BUY: Diet-to-Go


Read our full Diet-to-Go review.

Best Tasting Meal Delivery Service for Weight Loss - Fuel Meals

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SPECS

  • Price per serving: Varies; Basic plan $9.99 day with promo
  • Meals per week: Options for 8, 14, 21, 28 entrees per week with add-ons
  • Menus: Muscle Gain, Weight Loss, Bulk ingredients, Custom meals
  • Membership options: Weekly or biweekly delivery, can cancel at any time

GET STARTED

Fuel Meals' approach to healthy meal delivery is a distinctive Weight Loss Plan that includes a nutrition support team and daily calorie calculations for men and women depending on your goals and dietary requirements. Each meal is then broken down into macronutrient totals, showing you exactly how much protein, carbohydrates, and fat are in each entree. You can also add breakfast and snacks to your delivery, customize your meals, and order proteins or veggies in bulk for extra servings or meal prep.

So, why did we select Fuel Meals as the best tasting meal delivery service? They only use high-quality ingredients, currently sourced from East coast vendors. The meat options are hormone and antibiotic-free, the fish is wild caught, and the vegetables are all organic and non-GMO. Fuel Meals has done all of the hard work, you simply have to heat and eat.

Additionally, reviewers find the meals delicious and appreciate the macro transparency when tracking their food.

What We Like

  • Options for meal amounts and shipping frequency
  • Locally-sourced ingredients
  • Ability to customize or buy ingredients in bulk
  • Goal-specific plans

What We Don't Like

  • Expensive
  • Adding breakfast or snacks is an additional cost

BUY: Fuel Meals


Best Vegan and Vegetarian Meal Delivery Service - Trifecta

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SPECS

  • Price per serving: Varies; 7 vegan entrees $14.99/meal
  • Meals per week: Options for 5, 7, 10, 14 entrees per week with add-ons
  • Menus: Clean, Paleo, Whole30, Keto, High Protein Vegan, High Protein Vegetarian
  • Membership options: Weekly, but you can pause or cancel a week in advance

BUILD YOUR PLAN

If staying fit and lean is your priority, and you also follow a vegan or vegetarian diet, then Trifecta is a great meal delivery service for you. Trifecta prioritizes your fitness goals as well as your personal food preferences, budget, and health. Weight loss and diet does not look the same for everyone, and finding something that works now and long term is key to ultimate success. That's why Trifecta offers high protein plans for vegans and vegetarians with ingredients like impossible meat, vegan chicken ,and tofu.

You can choose fully prepared meals or choose various prepared meal items and mix and match them to make your own meals and snacks. While Trifecta leaves seasoning and saucing to your discretion, their flavorful ingredient choices will still be sure to please the palate of everyone. This meal plan is great for vegan or vegetarian athletes looking to stay lean and has even partnered with Spartan Race through the 2024 season in an effort to support the healthy lifestyles of athletes around the world.

What We Like

  • Option to exclude allergens from meals
  • High protein meals for vegans and vegetarians
  • All meals are macro balanced
  • No preservatives of artificial ingredients
  • Made with whole foods

What We Don't Like

  • Expensive, especially if you choose to add breakfasts to your plan
  • May need to add your own sauces or seasoning to your meals
  • Must call, email, or chat to turn off deliveries completely

BUY: Trifecta


Read our full Trifecta review.

Best Meal Kit Delivery Service for Weight Loss - Hungryroot

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SPECS

  • Price per serving: Varies; starting price $65, between $9.69-$11.39 per serving
  • Meals per week: Varies
  • Menus: Varies; options for dietary preferences
  • Membership options: Weekly, but you can skip a week or cancel

30% OFF HUNGRYROOT

Hungryroot is a meal kit and grocery delivery service that allows you to select from hundreds of chef-crafted recipes as well as fresh produce, condiments, and healthy snacks shipped straight to your home. Each meal kit includes certified organic and non-GMO ingredients with instructions to help you prepare and cook the delicious recipes.

Once you take the quiz and list your dietary preferences, Hungryroot makes suggestions for your weekly shipment of ingredients to create their delicious recipes and accompanying grocery items. Not a fan of their selections? No problem, you can customize and choose the exact meals that you want. Afterward, you can rate your recipes and groceries to help inform future suggestions from the Hungryroot team.

What We Like

  • Easy to prepare and cook recipe options
  • Customizable and intuitive selections
  • Majority of ingredients are high-quality and certified
  • Minimal prep required
  • Grocery options you may not find locally

What We Don't Like

  • Can get expensive depending on number of meals/add-ons
  • Recipes may require extra condiments or spices

BUY: Hungryroot


Read our full Hungryroot review.

Best Prepared Meal Delivery Service for Weight Loss - Diet-to-Go

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SPECS

  • Price per serving: Varies; 8 entrees $14.45/meal
  • Meals per week: 2-3 meals per day; 5-7 meals per week
  • Menus: Balance, Balance-Diabetes, Keto-Carb30, Vegetarian, Mediterranean
  • Membership options: Pause or restart subscription week by week

60% OFF DIET-TO-GO

Diet-to-Go features chef-prepared meals that simply have to be reheated once arriving on your doorstep, making it our pick for the best prepared meal delivery service. You can choose each of your pre-prepared meals from five main menu options: balance, balance diabetes, keto-carb30, vegetarian, and Mediterranean with fruits, sides, and condiments included in your weekly shipments.

These meals are perfectly portioned for calorie control and aiding in your weight loss goals. We especially recommend the Mediterranean diet option, which has been shown in studies to help achieve and maintain weight loss.(1)

What We Like

  • All meals are pre-prepared and easy to reheat
  • Separate male and female calorie options
  • 5 different meal categories
  • Team of health professionals, including a registered dietitian, nutritionist, and certified health coach available to support you and your goals

What We Don't Like

  • $19.98 shipping cost
  • Cannot customize menu before submitting order

BUY: Diet-to-Go


Best Keto Meal Delivery Service - Trifecta

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SPECS

  • Price per serving: Varies; 7 vegan entrees $14.99/meal
  • Meals per week: Options for 5, 7, 10, 14 entrees per week with add-ons
  • Menus: Clean, Paleo, Whole30, Keto, High Protein Vegan, High Protein Vegetarian
  • Membership options: Weekly, but you can pause or cancel a week in advance

BUILD YOUR PLAN

We like Trifecta because it has several plans available like clean, paleo, Whole30, vegan, vegetarian, and of course, keto! In fact, keto is considered Trifecta's most popular meal plan. These recipes are high in protein and fats while staying low in carbs, and rotate weekly so you don't become bored with the same meals every week. When you sign up for Trifecta, first choose a plan, then get your macro needs calculated to support your fitness goals, and finally specific whether you want to lose weight or gain muscle. It is important that the meal plan created for you provides you with enough food so that you have the energy and mood needed to crush life and your fitness goals.

Unique to the Trifecta meal service is the option to upgrade App Premium. This upgrade gives you access to various movement demos, and the ability to add macros by meal when tracking intake and customize your keto-specific macro needs. It is like MyFitnessPal but specific to the Trifecta meal delivery service. You can even take a quiz that helps Trifecta determine which diet might be the best for your health and fitness goals.

What We Like

  • Savory keto-based meal options
  • Option to exclude allergens from meals
  • All meals are macro balanced
  • No preservatives of artificial ingredients
  • Made with whole foods

What We Don't Like

  • Expensive, especially if you choose to add breakfasts to your plan
  • May need to add your own sauces or seasoning to your meals
  • Must call, email, or chat to turn off deliveries completely

BUY: Trifecta


Best Frozen Meal Delivery Service for Weight Loss - Nutrisystem

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SPECS

  • Price per serving: Varies; Basic plan $9.99 day with promo
  • Meals per week: 3 meals per day; 5-7 meals per week
  • Menus: Women's Plan, Men's Plan, Diabetes Plan, Complete 55 Plan, Partner Plan
  • Membership options: 1, 3, 6, and 12-month membership plans

50% OFF NUTRISYSTEM

You've probably heard of Nutrisystem before—it's been around since the 70s—but may not be top of mind when it comes to all the exciting and new meal delivery services available. We're here to change that. Nutrisystem offers several delicious meals and snacks that are both fresh and frozen across several plan options, including those for women and men and individuals over the age of 55 looking to dial-in their nutrition.

When on a Nutrisystem plan, the food you receive should break down into this convenient schedule:

  • Breakfast
  • Early snack
  • Lunch
  • Post-lunch snack
  • Dinner
  • Evening snack

This schedule should help satisfy your hunger, make meal planning easier than ever, and keep you from excessive snacking. A lot of reviewers swear by the tasty snacks and shakes that help keep them from reaching for an option higher in sugar or fat.

What We Like

  • Mix of convenient frozen and fresh meals
  • Specialized meal plans for dietary needs
  • Meal plans are customizable
  • Well-established brand
  • Excellent promos

What We Don't Like

  • Reviewers are divided on the taste of some of the meals
  • Some meals are highly processed
  • Expensive

BUY: Nutrisystem


Read our full Nutrisystem Review.

Best Variety Meal Delivery Service for Weight Loss - Hungryroot

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SPECS

  • Price per serving: Varies; starting price $65, between $9.69-$11.39 per serving
  • Meals per week: Varies
  • Menus: Varies; options for dietary preferences
  • Membership options: Weekly, but you can skip a week or cancel

30% OFF HUNGRYROOT

Variety is the spice of life, and with Hungryroot you get plenty of variety thanks to their customizable recipe and grocery options. The Hungryroot service makes it easier than ever to fill your fridge with unique, high-quality ingredients. Each meal kit features certified organic and non-GMO ingredients with simple instructions to help you prepare and cook all your meals at home. As you're probably aware, you are more likely to lose weight when consistently preparing your meals, rather than eating at restaurants where portion sizes and additives are left out of your control.

Once you take the Hungryroot quiz and list your dietary preferences, Hungryroot makes suggestions for your weekly shipment of ingredients to create their delicious recipes and accompanying grocery items. You can then accept or adjust their selections to fit the exact meals that you want. Make sure to rate your recipes and groceries after each weekly box, as this will help inform the Hungryroot team of your preferences.

What We Like

  • Several customizable and intuitive selections
  • Easy to prepare and cook recipes
  • Grocery options you may not find locally
  • Majority of ingredients are high-quality and certified
  • Minimal prep required

What We Don't Like

  • Can get expensive depending on number of meals/add-ons
  • Recipes may require extra condiments or spices

BUY: Hungryroot


Best Budget Meal Delivery Service for Weight Loss - Nutrisystem Partner Plan

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SPECS

  • Price per serving: Varies; Basic plan $9.99 day
  • Meals per week: 3 meals per day; 5-7 meals per week
  • Menus: Women's Plan, Men's Plan, Diabetes Plan, Complete 55 Plan, Partner Plan
  • Membership options: 1, 3, 6, and 12-month membership plans

50% OFF NUTRISYSTEM

Budget is an important factor to consider when searching for a meal delivery service for weight loss. Some meal delivery services can cost up to $15 per serving and that is not something everyone can budget for. With Nutrisystem you can count on a single serving costing as little as $9.02 per person for the basic partner plan with additional savings on all Nutrisystem shakes.

This is an excellent option for duos attempting to eat healthier and lose weight together by helping keep one another motivated and accountable. Also, if you find meal selection overwhelming, you can select "Chef's Choice" which will get you started with the brand's most popular meals. Otherwise, you can customize your meals as desired and have them auto-delivered to you every two weeks.

What We Like

  • Excellent deal on partner plan
  • Mix of convenient frozen and fresh meals
  • Meal plans are customizable
  • Well-established brand
  • NuMi® to help track and personalize your plan

What We Don't Like

  • Reviewers are divided on the taste of some of the meals
  • Some meals are highly processed
  • Expensive

BUY: Nutrisystem


Best Gluten-Free Meal Delivery Service - Fuel Meals

Best_Gluten-Free_Meal_Delivery_Service

SPECS

  • Price per serving: Varies; Basic plan $9.99 day with promo
  • Meals per week: Options for 8, 14, 21, 28 entrees per week with add-ons
  • Menus: Muscle Gain, Weight Loss, Bulk ingredients, Custom meals
  • Membership options: Weekly or biweekly delivery, can cancel at any time

GET STARTED

Around 1% of the American population is affected by celiac disease with up to 6% of the population being similarly affected by non-celiac gluten sensitivity (NCGS).(2)That said, up to 30% of the population simply prefers not to eat gluten-containing foods. If you prefer to avoid gluten for medical reasons or otherwise, Fuel Meals makes it very easy for you to select gluten-free meals from their abundant high-quality offerings.

Each meal is broken down into macronutrient totals, showing you exactly how much protein, carbohydrates, and fat you're getting per serving. You can also add breakfast or snack options to your weekly delivery, customize your meals, and order bulk ingredients for extra servings or meal prep. Additionally, the meat options are hormone and antibiotic-free, the fish is wild caught, and the vegetables are all organic and non-GMO. Fuel Meals has done all of the hard work, you simply have to heat and eat.

What We Like

  • Gluten-free meal option available
  • Options for meal amounts and shipping frequency
  • Locally-sourced ingredients
  • Ability to customize or buy ingredients in bulk
  • Goal-specific plans

What We Don't Like

  • Expensive
  • Adding breakfast or snacks is an additional cost

BUY: Fuel Meals


Best Healthy Meal Delivery Service for Weight Loss - Snap Kitchen

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SPECS

  • Price per serving: Varies; 12 entrees $11.34/meal
  • Meals per week: 6 or 12 meals per week
  • Menus: Standard, High Protein, Low Carb, Keto, Paleo
  • Membership options: Weekly, skip/cancel anytime

GET STARTED

While we chose the majority of the delivery services for our list due to their healthy meal options, we feel that Snap Kitchen really stands out in this category. If you are in search of meals that are perfectly portioned, delicious, gluten-free, and can also cater to your dietary preferences, then this is an excellent choice. Snap Kitchen offers over 42 meals that have zero preservatives, antibiotics, artificial sweeteners, or hormones. We're especially interested in standout options like the buffalo ranch burger with a side of loaded cauliflower, as well as chicken piccata and Romesco steak.

Additionally, their menu rotates and allows for customization—they clearly understand that one size does not fit all when it comes to losing weight and eating well. Another bonus of using Snap Kitchen is that they give back; they have donated over three million meals to teachers, first responders, frontline workers, and nonprofits.

What We Like

  • Healthy and never frozen
  • Meal ingredients and nutrition details available before ordering
  • Meals donated to important people in the community
  • Macros easily viewable
  • Tasty and interesting keto options

What We Don't Like

  • Not a huge variety of specialty meals
  • Cost per meal is a bit high

BUY: Snap Kitchen


Best Plant-Based Meal Delivery Service for Weight Loss - Purple Carrot

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SPECS

  • Price per serving: Varies; Prepared meals: 6, 8, or 10 per weeks, $13/meal with discount
  • Meals per week: Varies depending on menu
  • Menus: Meal Kits, Prepared Meals, Less Prep, Frozen meals
  • Membership options: Weekly; edit, skip, or pause anytime

30% OFF PURPLE CARROT

If you choose to follow a plant-based diet, high-protein healthy meals with quality ingredients are likely a priority for you. Purple Carrot offers plant-based and gluten-free meals that are thoughtfully prepared by their chefs. While they only have about eight pre-made and reheated meal options per week available, the menu changes regularly to keep things fresh and exciting. If you are interested in having some meals that you prepare yourself, there are more recipes available. Every week your menu will be curated by the chefs, but if you want to choose your own meals, that is always an option. Unfortunately, due to the small menu, Purple Carrot cannot cater to all allergens.

You will find unique options like spelt risotto with summer vegetable caponata and creamy mac n' cheese with pesto peas and sun-dried tomatoes on their menu. While the available menu might be small, the flavors they offer are sure to be mighty. While this meal is not ready to eat and must be prepared by you, it is a great way to switch up your routine and bring a healthy plant-based meal to your kitchen. You do not have to stress about your waistline, wallet, or cross-contamination.

What We Like

  • Calorie and nutritional info easily accessible
  • Gluten-free options available
  • Option to add pantry items to order
  • Student discount available

What We Don't Like

  • Plant-based meal options only
  • Limited premade meal options
  • Unable to cater to allergies

BUY: Purple Carrot


How to Choose a Meal Delivery Service for Weight Loss


Diet

When you first set out to find a weight loss meal delivery service, you should consider the types of meals you are looking to have delivered to your doorstep. There are many dietary lifestyles and not every meal service caters to everyone's preferences and needs. Whether you are vegetarian, vegan, diabetic, gluten free, or dairy free, there is absolutely a meal delivery service on the market for you. If you don't have a diet that you already follow but are looking to explore a new diet like keto, Mediterranean, paleo, or whole30 with the goal of weight loss, there are many meal delivery services available.

While some of these meal delivery services cater to weight-loss goals, many of them are also able to cater to different food allergies or general food preferences. Most of the meal delivery services on the market allow customization so that you are sure to get a meal that suits your needs. Some of the meal delivery services even offer additional perks like diet coaching or webinars to help support your weight-loss journey and provide you with additional guidance as you take the steps you need to lose weight.

Meal Types

The majority of ready-to-eat meal delivery services for weight loss offer fresh meals that you can reheat in your microwave in under 5 minutes, while others provide you with frozen meals so that you can reheat when it is most convenient for you. Sometimes the fresh meals come with freezing instructions so that you can be sure none of your meals will go to waste if you are busy working or traveling and are not sure you will be able to finish all of your meals before their "best by" date. You can expect most of the meals you receive to have specific microwave reheating instructions, but some of the meal delivery services offer or encourage other methods of reheating such as an air fryer, stove top, or conventional oven.

Number of Recipes

One major thing to consider when choosing which meal delivery service for weight loss is best for you is the number of recipes that are offered. While most of the meal delivery services we found offer 40 or more recipes to choose from weekly, other meals delivery services offer only a handful of recipes each week without much variety or wiggle room. You can expect that most menus, regardless of how vast, will change as the seasons change to offer the freshest, most cost-effective produce to their customers. You may also want to consider whether you are able to view the ingredient list and nutritional information of the meal options prior to placing an order in case you are someone who tends to have a pickier pallet or a lot of dietary restrictions. While you might be OK with eating the same types of food daily, you could also be someone who gets bored easily and will grow tired of repetitive meals or meals that often contain ingredients that are outside of your comfort zone. Many of the meal delivery services allow you to view their complete menu and recipe details prior to signing up, but that is not the case for all.

How We Chose the Best Meal Delivery Services for Weight Loss

We chose our list of best meal delivery services for weight loss by comparing criteria like the variety of menu options, whether the menu met certain dietary requirements, and the cost per meal of each service. We also looked at the quality of the food offered by each service and whether or not these meals could provide a well-balanced and nutrient-rich plan for those with weight loss goals. We also looked at customer reviews and testimonials and prioritized services that had positive-word-of-mouth for convenience and taste. Also included are meal services that we have personally tested and reviewed.

FAQs About Meal Delivery Services for Weight Loss


What food delivery service is the best for weight loss?

Losing weight can be difficult but having the right meal delivery service can make it less of a challenge. The best meal delivery service for weight loss is going to be the one that you can stick with because it's convenient and you enjoy the healthy, well-balanced meals you're being provided. With weight loss, consistency is key.

Can you lose weight with HelloFresh?

While HelloFresh is not specifically designed to help customers lose weight, it still might be a good start. By having meals delivered to your door that consist of fresh ingredients and provide you with well-rounded meals consisting of fresh produce and quality protein, you may find yourself eating out less and enjoying cooking more, which can lead to long-term and healthy habit changes when it comes to your diet. HelloFresh also provides easy-to-read nutritional information which allows for easy tracking in popular apps such as Noom.

Are meal kits a good way to lose weight?

Meal kits have the potential to help you lose weight because they allow you to be more mindful about your nutritional choices. When you select and cook your own healthy meals, you're less in control of the ingredients and portion sizes and more in control of the preparation. This allows you to bypass the extra calories found in restaurant meals that are often cooked in fatty oils or covered in dressings and sauces loaded with added sugar. Meal plans are also very advantageous if you have a busier schedule that typically causes you to seek fast food or skip a meal entirely.

Do meal delivery services work with weight loss programs (such as Noom and WW)?

Some meal delivery services are approved by weight loss programs. Weight Watchers, for example, has partnered with the Blue Apron meal delivery service in addition to their own WW-branded meal kits. A few of the meal services on our list, like Diet-to-Go have resources for creating a personal weight loss program using their meals.

Are weight loss meal delivery services worth the money?

We won't lie, meal delivery services can get very expensive depending on the amount of meals or additional items you choose for your weekly deliveries. However, meal services are worth the money if they help ease the burden of grocery shopping or meal prepping and allow you to focus on eating healthy without distractions.

Our Final Takeaway

Weight loss can be very difficult—but not impossible—with consistency, patience, and a little help from a meal service. That said, you don't need a meal delivery service to help you successfully lose weight. But, if you have the means and the budget, it certainly doesn't hurt because these services take the guesswork out of meal prep and portion control and provide high-quality ingredients that save you time you can now spend on your workouts.

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References

  1. Poulimeneas, D., Anastasiou, C. A., Santos, I., Hill, J. O., Panagiotakos, D. B., & Yannakoulia, M. (2020). Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study. The British journal of nutrition, 124(8), 874–880. https://doi.org/10.1017/S0007114520001798
  2. Igbinedion, S. O., Ansari, J., Vasikaran, A., Gavins, F. N., Jordan, P., Boktor, M., & Alexander, J. S. (2017). Non-celiac gluten sensitivity: All wheat attack is not celiac. World journal of gastroenterology, 23(40), 7201–7210. https://doi.org/10.3748/wjg.v23.i40.7201