Using pharmaceutical enhancements like Adderall and modafinil can be justified when the benefits exceed the costs. The speaker emphasizes personal accountability in managing stress and mental wellness, sharing a journey from medical school where poor self-care led to anxiety. Instead of medication, prioritizing physical health was highlighted as a significant turning point for overall well-being. Open discussions about nootropics reveal a shift in attitudes towards cognitive enhancers, indicating a growing acceptance of their use, particularly when goals are achieved despite ethical debates.

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