“…However, this is an unlikely scenario in real life as contaminated water bodies are oen polluted with a mixture of chemicals rather than individual chemicals. While it is informative to know, for instance, the estrogenicity of diclofenac, the contribution of diclofenac amongst a mixture of hundreds of chemicals will be signicantly inuenced in the presence of these other chemicals such as carbamazepine, trimethoprim, cipro-oxacin, venlafaxine as common in studies reviewed here 29,43,45,47,76,85 or any other possible combination of chemical cocktails. In addition, the causality effect of a specic chemical within a mixture of pollutant in a water sample in producing a particular effect is currently impossible with effect-based monitoring.…”