Typesetting systems like Typst or LaTeX go beyond this. They're also about presentation, how precisely it is laid out, on mediums such as print or PDF. Is that something you need? If you care more about the content and its meaning, and are happy to have it rendered differently in different situations (a preview in Visual Studio Code, or passed through a markdown-to-html renderer, or viewed in Obsidian, etc), then Markdown might not just be fine, it may be preferable. But if you need to do things like print this on paper for mailing, email in a PDF, that sort of thing, then you'll want something more.