Non-centred parameterisation for Dirichlet distribution

With this are you saying that is better off starting from multinomial and build up a more complex model, than using NB framework for coping with the complex overdispersion. Am I understanding well?

(I am trying to implement a gamma-multinomial model More flexible than Dirichlet-multinomial: gamma-multinomial (?) - #2 by stemangiola)

For the amount of patients analised in the majority of studies at this stage I am more worried about solving the overdispersion modelling, rather than covariance structure.