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From what I experience from stims used in PWO's, I find they mask fatigue to a good extent but if you're utterly exhausted and lack sleep on consecutive days none of that fancy stuff will make you perform optimally until you've had a chance to rest/recuperate.
The picture below was taken when my CNS was sleeping, see how cute and little it is. This was before I started training and using stim based PWOs.
I took this picture this morning. You can clearly see how my CNS has experienced significant gains and is now no longer cute and fitting in the palm of your hand, it is in fact half bear half shark and will fuck*ng eat you....hell it will eat me if I'm not careful. It thrives on a diet of stimulants and aesthetic bro fags and must be fed every 3 hours to maintain it's gainzz. Dat's just how it is round here....