This video explains why the speaker, Siim Land, no longer practices extended fasting (beyond five days). He discusses the perceived benefits like autophagy and longevity pathways, but argues that these are not clearly proven in humans and can be achieved through other means. He highlights the negative side effects of extended fasting, such as decreased thyroid function and metabolic rate, and suggests that shorter fasts (3-5 days) or regular exercise are more beneficial and sustainable for health and longevity.