Having started with very generic ergonomic keyboards, and now progressing to hand built keyboards have taught me that if you are experiencing some sort of tendon, nerve, or joint issues from standard keyboard use, you really need to dive into the deep end and get the most ergonomic thing out there even if $300 for a keyboard, when you can buy one for under $20, sounds incredibly expensive. If you don't, you'll likely end up paying that much to just keep fixing or improving the situation. And if you don't try to fix the situation you'll pay for it in damage to your hands which to me has no monetary value* .
I might still choose to build the manuform, but it's nice that there's an option out there with adjustable thumb keys, I've never seen that before and I hope it becomes a trend in the split ergonomic keyboard world.
[1] https://tomoakley.me/article/2020/01/1-month-with-the-dactyl...
[2] https://blog.splitkb.com/blog/introducing-the-kyria
* okay, maybe there is an exact amount in terms of how much money you can no longer make through typing ability that is lost, but my point is there is an intrinsic value to having fully functional hands.