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[1] They do send a super low resolution stream with no audio, but not the actual quality you are watching in.
[2] Right now Twitch does not stop sending content in markets where they don't have ad inventory. So there are actually browser extensions already that will use a custom foreign market server to proxy the video during ad breaks, so that you can still have an 100% effective ad blocker.
Anything that JS on the client can do is also under control of browser extensions. We are talking about YouTube’s options under that constraint.