I am uncomfortable with longer fasts too. Especially as fasting is becoming more and more fashionable.
The vast majority of people do them sensibly and carefully and with at least a basic understanding of what goes on during and after. I use IF and a reduced eating window, sometimes 24 hr fasts, I like it. I have done longer. That’s fine. Long fasts can be great if people know what they are doing.
But every now and then I see a thread or article that makes me flinch. It happens on here and on other forums and sites. Some idiot blasting away full throttle. Extended fasts with a ‘no pain, no gain’ mindset, no awareness of the risks of refeeding syndrome, no understanding of what symptoms should indicate an immediate end to the fast and seeking out medical attention. Extended fasts with low body weight and daily endurance running. Someone ceasing eating and ceasing all meds (insulin, bp, heart, etc.) at the same time with no medical supervision… those kinds of things.
And when/if one of those idiots get dead or hospitalised, it won’t be their idiocy that gets blamed. It will be Fasting.
I saw Phinney say (YouTube vid) that a single death while fasting could set LC and keto back by decades. I agree with him, but the wacky fringe always has its adherents and the voice of reason rarely prevails.