I suspect that the cellular carriers have found ways to detect tethering (hotspot) usage despite changing the TTL. I use Visible (Verizon network) when camping and during the 2023 camping season changing the TTL was enough to not trigger tethering on their end. During the 2024 camping season the TTL mod did not work. If I combined the TTL mod with a VPN that would work to bypass the tethering detection and I was able to bypass Visible's 5 Mbps tethering throttle.