Implementers shouldn't need to jump through these hoops. When you find yourself needing to relax or bypass spec semantics just to achieve reasonable performance, that's a sign something is wrong with the spec itself. A well-designed streaming API should be efficient by default, not require each runtime to invent its own escape hatches.
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When adapting to a ReadableStream, a bit more work is required since the alternative approach yields batches of chunks, but the adaptation layer is as easily straightforward: