Maliant, did you play a monk without a fungi too? I've not done either (or at least not beyond the early levels), so I can't speak of first hand experience.
However, I've seen plenty of Fungiless monks soloing in their 50s, so I don't think it is really a case of 'make or break', rather 'make or supermode'.
Mzy12345 is right that good battle bandaging is huge.
Once you hit 201+ skill and are turtled up to avoid interrupts you will be self healing for around 80 damage every 10 seconds, without sacrificing melee dps. It's been huge for any character I've done it on.
I have a /stand hotkey, I've found it to be generally useful. I also have a hot key that bandages. Tab is set to toggle between targeting myself and my previous target.
In battle I hit tab, bind wound, tab, stand, auto attack. If I'm feeling dextrous I turn off attack before starting this process.
You could make it more automated with the following:
/doability #
/stand
/attack on
That way you just need to tab, macro, tab. Obviously you need to set the hash to the correct number and may need to add in small /pauses to deal with lag.
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