
I think you'll find all this size-related food means the size of the kibble rather than any difference in the actual food make-up. Other than puppy vs adult food of course. The food amounts on the bag are always just a guide. If I gave the amount recommend for my biggest hound, he'd burst. And I'd suggest this size related food is also just a guide. if your breed is a medium breed according to the Breed Standard, and if you buy a size-related food, go with that recommended for medium dogs. Especially if she manages to eat that size food okay.
You should be able to feel the ribs not see them, so if this is the case with your dog, she's fine.