I'm sure many of you are familiar with sacrificing health for your start-up, but I'm curious as to your opinion on on using stimulants, specifically Provigil (modafinil), to enhance your performance during the days?
Provigil has been in the media for quite a few years and, aside from very rare but very deadly allergic reaction potential, there are no real side-effects to the drug. However, the long term safety has not been determined (only on market for ~10 years).
Now, Provigil makes a big difference in the day-to-day: not only will it help those late nite w/ early meeting problems, but it will take those ordinary days and turn them into extraordinary days by quashing any notion of sleepiness. Obviously, it's no replacement for sleep (you feel tired on it... just not sleepy), but it can come in handy once or twice a week.
Have you considered Provigil? How far are you willing to go?