Hive account@wanderlass: Answering your first question: It's NOT worth it to put your health aside to have possible real success on Steemit. In fact, that will be a failure. Your health comes first!

Consider Steemit like a Gaming platform where content creators are playing. Every player has his/her own choice and strategy (as you've mentioned too). He/she can start with a basic power or can invest to buy more power. A player can power up through multiple ways (organic or inorganic).

The gaming platform has one objective: Making players invest so as to sustain itself. It has no moral values in itself but players and the community may have.
All players on gaming platform have one objective: To win the game.

Answering your second question: Different players will play with their own style, strategy to 'win the game'. I haven't decided mine yet and still learning.

Coming back to the main point: You don't want to lose your health while playing a GAME!

PS: Hive account@girlinchief discussed your post with me and suggested I should share my thoughts with you.