See: US presidents before-and-after vs corporate CEOs
Compared to his earlier pictures, it looks like he 'filled out' in terms of mody mass and skull growth. That sometimes happens when you take GH for long periods.
My personal experience leads me to believe that there is no way Elon Musk could have been dosing stimulants for the last 10-20 years and look as good and as relatively calm as he does. You build a tolerance very quickly, and any edge that you thought the stimulants were giving you will fade away fast. Then, if you increase the dose, your life will spiral off the rails as you become more manic, impulsive and irrational (eg: gambling, sex, spending sprees, irritability, violence, paranoia). Just Google John McAfee if you want to see what this can look like.
IMO Elon Musk just has lucky genetics and doesn't need much sleep, always has high energy. There are people who are fortunate to be born like that.
> IMO Elon Musk just has lucky genetics and doesn't need much sleep, always has high energy.
I remember him explaining that 6 hours was just a sweet spot (not the highest energy spot), that he would have more energy with more sleep but it wouldn't be enough to compensate for the lack of hours available in a day. Or something to this effect.
Looks can be deceiving :P Years ago Elon was balding hard and now he has a full head of hair.
Whether he actually uses amphetamines I have no idea. But I'd not be surprised to learn that he has his own RC lab.
I do think that, in the long run, it at best averages out between the unavoidable highs and lows. Some people benefit from being able to time when those periods happen. Probably net loss in many cases. Still, the behaviour you're describing represents the end stages of escalating use and loss of control where they have fallen into dependency and/or addiction. That's not inevitable. Some people do seem to be able to self-regulate their use of strong stimulants.
But you're right. It's clear some people are just innately more driven. In the worst case they're like Elon Musk, always flitting around, perpetually alternating between chipper and enraged, and always with coffee in hand and at most four hours of sleep the night before. I find such people infuriating, but that is probably just envy.
https://www.ucsf.edu/news/2019/08/415261/after-10-year-searc...