I'm glad to hear we have so many responders who have conquered the mind over matter barrier.
Yes, I get tired. No, my piano teacher stopped giving me tips on posture etc at a certain point. So I imagine my technique is adequate. What I do, is practice about double the time that I ever intend to perform. I also work out generally, combining the aerobic regime I learned from Dr Cooper and the US Army, and after age 60 some muscle building/stretching exercises I learned on a Pilates TV program run by Margaret Richard.
I have no regular access to a grand piano, so playing on the Baldwin grand in the next county that is only a 60-110 minute bus ride away (each way), wears me out particularly fast. I start noticing fatigue at about 30 minutes on that piano. Nor did I buy the heavy action Steinway 44 console I tried out in 1982, imagining the action as suitable for working up to playing grands, which are out of my economic and social class generally. Even on my light action Sohmer 39 console, practicing over 60 minutes has caused tendon pain in my right thumb, so more stengthening exercises will not be in the cards.
I might point out, my physique was not inherited from Europeans, Africans, or south Asians. So my body is much more desined for endurance feats (running deer or seal to exhaustion) than feats of strength (plowing with animals, reefing the sails, edged weapon combat) common among the conquerers of this New World.