It only matters if you actually value other people's opinions on the topic. When those views don't bother you, there's no reason to stress over anything. But if they do matter, it might be smarter to stay silent or weigh whether honesty is worth the fallout. Several folks have asked me point blank about using injections. I tend to just confirm it right away. On the rare occasions where the chat seems meaningful, I lay out the full picture including testosterone replacement for an ongoing health problem, a separate prescription tied to an esophagus issue that made me drink huge volumes of fluid during meals for years which expanded my stomach and shifted my chemistry and mindset, plus another drug to quiet the constant hunger signals partly linked to that same problem, and all the long walks I've logged this year even if my pace has slowed lately. Most of the time though it's not worth going into.
My relatives were quite critical, insisting that I should just push ahead with more determination and resolve.