Unfortunately, BEAM VM is very slow compared to multiple other languages including Go. It's great when starting out with a few developers, however, since Go and Rust are much more performant, it is possible to hire several more Go or Rust developers with the server cost savings instead of being tied to Elixir. There is always a trade off between easy to use and high performance.
But, yeah, if I was going to bootstrap a startup at the seed level, Elixir is the best choice for backend. If I'm spending $500K+ a year on infrastructure, I'll be looking at Go and Rust.