This is a case where the cart really should come before the horse. Whether or not you need a Step Up Transformer (SUP) critically depends on the output level from your cartridge, and what input levels your phono stage can deal with.
By convention, cartridge output level is measured in milliVolts when playing a 1-kHz sinewave with an amplitude equivalent to 5-cm per second. Many test records have a track like this.
Moving Magnet (MM) cartridges typically have an output around 5-mV, which is suitable for almost anything having a phono input.
Moving Coil (MC) cartridges usually have much lower outputs, from 1-mV down to 0.2-mV. At the low output levels, the cartridges are known as Low Output Moving Coil (LOMC) and they need much more help to increase the gain. All other things being equal, increasing gain also increases noise.
Gain options include phono stages designed for MC, SUPs, or both. A SUP is just a transformer with two coils of wire, that converts voltage as the ratio of the number of wire coils on one side to the number on the other. In a perfect SUP, there would be no power loss - for any increase in voltage there is a corresponding decrease in current.
You can replace a SUP with a powered amplifier to boost the output voltage - a Head Amplifier.
In general, there is a trade-off between output and trackability - the ability to precisely follow the groove. For good trackability, you want low effective tip mass, which means smaller parts and less output.
There's another subtle consideration. MM and MC cartridges must generate electricity, which reduces trackability as generating power electrically 'stiffens' the stylus.
More recently, practical optical cartridges have become available with a massive 70-mV output. They are separately powered, have very low tip mass, very low noise and very good trackability. The downside is that they respond to position, not velocity, so special equalizers are needed to replace the normal phono stage.
Once you have selected a cartridge and your phono / equalizer equipment, you will be in a position to judge whether a SUP makes sense for you.
Hope this helps

