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1 comment of this product found across Reddit:
HalfMoonHudson /r/pelotoncycle
2 points
1970-01-19 23:26:20.154 +0000 UTC

You can change the pedals for sure. They’re standard threads. There are also cages that have clips on the bottom to work with peloton pedals.

For the seat I think you should be able to change it. Hope the rails are the same width for attachments. The link you have is to a seat cover which will slip off the standard saddle. There are links in the listing to comparable saddles.

Not sure if it would be useful in your brothers case but I picture having those home dip bars by the bike to help with on/off and possibly to grab in a severe loss of balance

https://www.amazon.com/Sportsroyals-Station-Parallel-Workout-Capacity/dp/B08HV3VXH2/ref=mp_s_a_1_5?crid=WZ7B5RQF2EMC&keywords=dip+bars&qid=1639580100&sprefix=dip+bars%2Caps%2C182&sr=8-5

Good luck!