From what I've read and seen about macrobiotics, to really follow it to the letter, it would be SOOOOOOOOO hard in normal everyday life. There are a lot of things that are 'staples' in a macrobiotic diet, that I have never even seen. I would have to take a couple of weeks off just to research and find where I could shop and buy all this stuff--and then only a couple of seasons out of the year-where I live.
Good luck. But, yes, it is supposed to be the ultimate healthy diet.