I'm far from an expert in molecular biology but I assume most changes revert to baseline almost immediately upon return to terrestrial gravity.
Temptation here is envision a biofactory in which microgravity cells and tissues are grown in space. And then transplanted into the wealthy humans on Earth who can afford it. Endowing them with superhuman strength and intellect. A compelling sci-fi writing prompt. But we are still at the phase where we are just trying to figure out what long-term human spaceflight does to our physiology.
Personally, I find this level of Science borderline miraculous. The fact we are able to explore genetic expression in stem cells, get it to LEO labs at $100000/kg, and distribute the data instantly across the Earth is a kind of science fiction come to Life. Despite the fact it may not reflect the actual effects in living breathing astronauts working in deep space. The only way to properly answer those questions, of course, is a planet wide effort in exploration and colonization ;)