“…As discussed for microbes, humans are also exposed to a variety of hostile environmental changes during spaceflight. Those include variations in gravity (from microgravity to hyper-gravity periods, which occur during launching and landing), acute and chronic exposure to radiation, and psychological stress, as well as loss of nycthemeral cycles and perturbation of normal circadian rhythms, exposure to extreme temperatures, variable magnetic fields, and hypercapnic conditions ([ 5 , 17 , 113 , 114 , 115 ]). In more prolonged missions, long-term isolation impairs sleep, mood, and alertness, compromises muscular strength and endocrine physiology, induces changes in hormone levels and metabolism [ 17 , 116 ], and causes microbiome shifts [ 9 ].…”