I have known a few "Purple Pill" people over the years. Actually PI/O M I.
They want to keep family ties usually. Miserable existence IMO.
The only ones that SEEM to pull it off "discover" they have a disease that forces them to cut out meetings and field service with no outward diagnosable signs. (Fibromyalgia, Epstein Barr, tick fevers, etc.) or better yet, they move out of the District and become inactive (for work, etc), keeping a low profile. They only attend meetings/assemblies when they have to while visiting JW family members. :) I have known a few people who have done this for 20+ years. A LOT of extra work if you ask me.