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Yes, ltsc should be reinstalled every once in a while but imho 2-3 years is fine.
Windows 11 may have improved hdr but at the same time comes with far more ads, with far more bundled bloatware etc. So it’s up to you to judge.
Last time I booted into windows which was in 2021-ish, I literally removed 5 Gb o junk from that OS.
Well thankfully you can remove the Start menu ads with StartAllBack, and the rest by following this guide.
That said, if you don’t care about HDR, then you’re probably better off with 10 or LTSC. Everybody has different needs. Mine so happen to make 11 the better option for me.