I have an Ergodox EZ I built as well as a Moonlander, but I ultimately decided split/tilt wasn't right for my wrists. I switched to an Arisu layout ergo single-frame keyboard and that is what I rely on to this day. The biggest win was going to a vertical mouse. I'm also a lover of the Model M and Model F, but these are not properly ergonomic in 2026 (and at 40+ years old).
Shoutout to the IV Works AV3/AV4 and the Evoluent vertical mouse for helping stave off surgery for another 6 years (and counting).