Choking is the result of trying to put something down our throat that won't fit correctly (aka gluttony) or wasn't designed to go down our throat, such as a bone. In my case, it is due to scar tissue caused by acid reflux that restricts passage. Therefore, I would go with modifications. God doesn't make junk ; )
I never said junk. Just stuff that looks like the result of a long series of small modifications, rather than things designed from the top down.