You can pull the hand pad straight up IIRC.
And you can still use modifier macros and bind them to the Nost keys. I set the big red button to alt and just use that for my alt macro's.
The speed/reaction time improvement is what the Nost is all about. Having so many buttons so easily accessible under one hand is great. Once you have it down to muscle memory your ability use becomes really fluid.
I bind tab to the thumb pad, and have my bubble, two heals and cleanse on the dpad.
Then on the number pad I have all my most used abilities. I have space bar on the push wheel and auto run on wheel forward.
It is even better on my Druid, makes switching between forms and abilities so fluid it is amazing. I couldn't imagine trying to pvp effectively without it.
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