Ask HN: What do startups do for internal tech support?

I've been wondering this for a while. It mostly interests me because tech support is what I've been doing for the past 5+ years; it's what I'm good at.

While there doesn't seem to be a shortage of desktop support / sys admin jobs for established companies in the San Francisco bay area, most startups seem to be hiring programmers (which makes sense).

So, what do startups do for internal tech support? Do they just do it themselves? Outsource / hire contractors?

I'd be interesting in hearing any insight, as I'm working on a 1-year (hopefully) plan to move to the San Francisco bay area and would love to work for a startup.