I think for the sake of a tenner or so replace them but you can renew just the bearings if you’re really hard core :
View: https://youtu.be/Abd4M0VQfJo
I thought about doing this before I realised how cheap replacements were.
It's completely pointless.
The bearings are a non-standard size (I think 1mm too narrow) and even if you could find them, they would likely be much more expensive than just buying a new Shimano BB. Whilst I'm sure you could modify the cup/spacer to take standard bearings, it's just not worth it when good quality standard bearings cost about as much as just buying the whole BB.