I have to wonder though, since I have several "issues" (waking up tired, lower back pain, tense in the shoulders, bruxism, procrastination, ...) in moderate intensity, if I should just "man up".
How do you "man up" against sleep deprivation? I think in general you shouldn't man up against your own body.
I'm actually fascinated by this: popular mythology seems to push the "man up" principle for getting things done. But the real challenges I see are longterm sustainability, managing your resources properly to get through long tasks/projects.
Maybe it is because movies lend themselves more to the "man up once and achieve a break through" type of stories than to the "act sensibly and continue for a looong time".
Think learning piano: you can not man up and force yourself to learn piano in a 48h sleepless session (I assume :-)). You have to practice continuously for years. Sticking to it is the really hard part. Maning up for short bursts of time is actually easy.