Use a single uint64_t in nstime_t to store nanoseconds rather than using
struct timespec. This reduces fragility around conversions between long
and uint64_t, especially missing casts that only cause problems on
32-bit platforms.
Linux sets _POSIX_MONOTONIC_CLOCK to 0 meaning it *might* be available,
so a sysconf check is necessary at runtime with a fallback to the
mandatory CLOCK_REALTIME clock.
