To address the original post, cybernetics are available IMTU but compete with more "wet", i.e., biotechnology approaches. From a cost effectiveness point of view, stand alone solutions, e.g., powered exoskeletons, are far more cost effective than cybernetic implants/replacements or "wet" alterations.
IMTU cybernetics have a few disadvantages compared to "wet" enhancements (stronger, better immune system, gills, increased refleexes, denser bones, etc.). For example, a cybernitic arm is only as strong as the weakest link, e.g., ordinary shoulder or neck muscles and bones. This can limit the strength of cybernetics unless there is a "full body" replacement. IMTU at TL15 such full body replacements are possible, with a reasonable chance of survival. In addition, IMTU direct sensory input from non-original/organic equipment tends to drive organic brains insane. For example, at TL15 it would be possible to integrate a human brain into a completely artificial body, but this person will eventually go mad, losing skills and memories in the process. Intelligent machines (which are very rare IMTU) on the other hand would say that they have merely ascended to a higher level and any "madness" they experience is the left over reactions of a primitive life form to the true nature of the universe.
IMTU cybernetics have a few disadvantages compared to "wet" enhancements (stronger, better immune system, gills, increased refleexes, denser bones, etc.). For example, a cybernitic arm is only as strong as the weakest link, e.g., ordinary shoulder or neck muscles and bones. This can limit the strength of cybernetics unless there is a "full body" replacement. IMTU at TL15 such full body replacements are possible, with a reasonable chance of survival. In addition, IMTU direct sensory input from non-original/organic equipment tends to drive organic brains insane. For example, at TL15 it would be possible to integrate a human brain into a completely artificial body, but this person will eventually go mad, losing skills and memories in the process. Intelligent machines (which are very rare IMTU) on the other hand would say that they have merely ascended to a higher level and any "madness" they experience is the left over reactions of a primitive life form to the true nature of the universe.