During the 2020 primaries, he was sleepy and not with it in all the debates, but when it came time for the one-on-one debate with Bernie, all of a sudden he was "fiery" Joe.
The same thing happened at the state of the union. They literally hide him whenever they can, even to the point of him declining a pre-superbowl interview. And then all of a sudden he's "fiery" Joe again during the state of the union.
I have to believe that they are giving him some kind of concoction or drug or something, and I don't think it's conspiratorial to speculate that this is the case.
So to any biology/pharmacy/medical experts out there, what the hell is going on?
It's almost certainly modafinil, a dextroamphetamine like dexedrine, and galantamine.
The first two are commonly used/abused in DC and showed up often on the white house pharmacy report. The third is an acetylcholinesterase inhibitor can be effective in treating some of the effects of dementia, and is especially effective at inhibiting AChE when used occasionally, occasionally being abused by weirdoes who want to lucid dream. (HOLY SHIT, DO NOT DO THIS) He's almost certainly on memantine or memantine/donepezil combo therapy, and occasionally jamming the gas on the AChE inhibitors is very plausibly effective in boosting short term cognition.
Then they hide him away for a few days while he basically openly flows from both ends of his digestive system. (This is especially why you shouldn't abuse galantamine, you will shit the bed and if you're also using sleeping drugs, you can aspirate vomit and dry drown in your own barf while sleeping.)
don't get my hopes up like this
Hoping the president shids himself to death
Really trying to go out like Jimi Hendrix aye?