I have seen almost all of the disadvantages mentioned here go away when I started using heavy for caliber Ballistic Tips. They tend to be heavier in construction than the lighter versions, and start at slower velocities, so the effect on deer is a reliably expanding bullet that will always penetrate completely on broadside shots.
I have seen the opposite shoulder become jelly if both shoulders are shot at relatively close range (less than 100) but the accuracy in many loads, the reliable expansion and energy delivery, and the long range energy retention keep me using them. I think they result in less hunting after the shot too.
But only if they are the heaviest I can find in that caliber.
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