Gentoo user here.
Of course I always build every package from source because that's how Gentoo works.
Well, you get well optimized software for your specific cpu and architecture that often will not run on a different CPU. At the cost of lots of time.
For big ones like Firefox or rust I always choose the prebuilt ones... But everything else is from sources.
Also, another great advantage is to customize package features to your likings, like disable an audio backend or enable another, and such.