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You jump in the deep end and get cramps, you drown.

You jump in the "deep" end with modafinil and you get a headache, a sleepless night, and people call you ugly? Why is that "not to be taken lightly"? People do a lot worse than that casually.

I was heading into the article expecting him to end up with a stay in a psychiatric unit, with long term memory loss or personality disorders, with organ failure or loss of consciousness. 'Drug nightmares' can go really badly.

And if the good effect was moving him a few percent in focus, do "the basics" ... do anything measurable at all?