From my experience the only big changes I'd say I made overtime are:
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Font size bumped up
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Switched to neovim from visual studio, which took like a year to relearn my entire workflow (100% worth it though)
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Switched from multiscreen setup to one single big screen (largely due to #2 above no longer needing a second screen, tmux+harpoon+telescope+fzf goes brrrr)
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Switched to a standing desk with a treadmill, because I became able to afford a larger living space where I can fit such a setup.
If I were to do this meme though it'd mostly be #1, there just came a day when I had to pop open my settings and ++ the font size a couple times, that's how I knew I was getting old.