Pros
Due to the high intake of fruits and vegetables, raw food diets usually provide a good amount of beneficial nutrients (e.g., vitamins B and C, antioxidants, and phytonutrients). The nutrient density of the diet may be the reason why it is linked to lower cardiovascular disease rates and better mental health for some people. Sustained and substantial weight loss is also reported among those following raw foods diets.
This likely results from the diet's inherently low calorie density (i.e., calories per gram or volume of food), high fibre content, and limited food variety, which reduces overall calorie intake. The elimination of processed foods, added sugars, refined carbohydrates, and too much sodium represents a clear improvement over standard Western-style diets. The emphasis on whole plant foods also increases fibre intake, which supports digestive health and gut health.
Cons
Vitamin B12 deficiency is a major concern in the diet, along with increased risks of low calcium, vitamin D, iodine, iron, and zinc, which can go on to affect bone, brain, and cardiovascular health. Many long-term followers of restrictive raw food diets are often underweight, ‘amenorrheic’ (loss of menstrual function), and low bone weight, which suggests there’s inadequate energy and intake of some key nutrients.
Whilst eating food ‘raw’ does preserve some heat-sensitive nutrients, cooking can also enhance the nutritional content of many foods, by increasing their digestibility and killing harmful bacteria and parasites. There are also safety concerns of food-borne illness, which increases when you consume large amounts of unpasteurised products and raw animal foods.
Despite the name, food preparation can still be time-consuming as (safely) eating raw foods needs some extra washing, chopping, sprouting, or dehydrating before eating. The limited restaurant options and difficulty sharing meals with others can also be a problem.
Some versions of the diet can also be expensive, needing fresh organic produce, some specialised equipment, and some imported or rare ingredients. The diet is pretty difficult to follow, and adherence rates are low; outside of those who are really motivated to do it.
Bottom Line
While the raw food diet provides healthy plant nutrients, it increases several health risks (e.g., nutrient deficiency, excessive weight loss, amenorrhoea, bone mass loss), which probably outweigh the potential benefits of the diet.
While some nutrients are indeed ‘degraded’ by cooking (e.g., vitamin C and folate), others become more ‘bioavailable’ (like protein, lycopene, beta-carotene, and some minerals), and heat also destroys harmful pathogens and ‘anti-nutritional’ factors in certain foods.