Why is MTP use discouraged?

Hello all,
I'm currently troubleshooting an issue with our PSTN SIP trunk.  Right now we are converting from SIP to H.323 at the CUBE using a MTP required.  I am trying to convert to an end-to-end SIP path so that we can play Multicast MOH to PSTN caller.  (You cannot play Multicast MOH through an MTP).
We are running into issues and it looks like even if we convert to a full SIP trunk to the PSTN we may be stuck using an MTP resource.
Aside from the Music On Hold Issues,  why is using MTP required so frowned upon?  In every training video I watch or forum I read everyone say's they do not like to use MTP and to avoid it if possible.  I have never heard a why.
What are all of the caveats and disadvantages of using an MTP required at PSTN gateways and trunks?

Just adding to to Brendon's point.  PVDMs are very expensive items, and for Transcoding (and/or Trans-rating) it is less frequently used (how many transcoding calls will anyone will have in a given site at a given time?
Same goes for Conferencing..
However if you select MTP required, every single call will need MTP (or PVDMs) and it can be easily reached 20 - 30 calls at a time, placing a tax on the PVDMs and if you are using PVDM3s, then one can easily understand it is very pricey, hence it is always suggested to use "MTP if required" option
HTH

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