This is one startup in one city in one geographical area. Extrapolating this to a general anecdote about all startups in the Silicon Valley is a bit of a stretc

This is one startup in one city in one geographical area. Extrapolating this to a general anecdote about all startups in the Silicon Valley is a bit of a stretch. However, in any competitive and high pressure enviornment people will always feel compelled to use performance enhancing drugs to get an edge or just to keep up with the rest of the pack. In my mind it isn't really all that different than professional sports. As a counterpoint, the company I work for is predominantly immigrants from India and nobody at my work uses drugs to my knowledge (except for the sales team, can't really speak for them ;).