What prevents existing massive stars from indefinitely burning helium or heavier elements after hydrogen is exhausted?

Answer

Those fusion pathways require immense pressure and temperature and yield less energy per mass

Stars cannot indefinitely switch to burning heavier elements because those fusion pathways require immense pressure and temperature, and they occur much faster and yield less energy per mass than hydrogen fusion.

What prevents existing massive stars from indefinitely burning helium or heavier elements after hydrogen is exhausted?

#Videos

Will the Universe Run Out of Hydrogen? - YouTube

Elementuniversehydrogencosmologyabsence