We’ll just all assume that every person who gets this would make themselves early twenties with flawless skin, perfect organs, appendages and functionality, and no excess weight.
My question is, would you change yourself from your genetic baseline, and if so, how?
you can not.
just think about it: 80 to 100 years uptime, no reboot, no fall back system, not even a cold spare. and you want to change something while its running? madness! maybe if you are very lucky you may be able to replace some of the internal components… but not to upgrade, only if your on the risk to loose the whole system…