“…Human studies of people exposed to PFOA and PFOS occupationally, residentially, and at background levels have found associations with changes in lipid and cholesterol concentrations (Frisbee et al, 2010; Nelson et al, 2010; Fletcher et al, 2011; Steenland et al, 2015), increased uric acid levels (Costa et al, 2009; Steenland et al, 2010; Shankar et al, 2011; Geiger et al, 2013; Gleason et al, 2015), changes in the concentrations of thyroid and sex hormones (Olsen and Zobel, 2007; Knox et al, 2011; Jain, 2013; Wen et al, 2013; Winquist and Steenland, 2014), changes in liver enzymes (Olsen et al, 2000; Sakr et al, 2007; Lin et al, 2010; Gallo et al, 2012; Gleason et al, 2015), immune effects (Grandjean et al, 2012; Granum et al, 2013; Dalsager et al, 2016), reduced birth weight (Apelberg et al, 2007; Fei et al, 2007; Chen et al, 2012; Darrow et al, 2013), reproductive effects (Joensen et al, 2013; Kristensen et al, 2013; Crawford et al, 2017), and some cancers (Alexander and Olsen, 2007; Barry et al, 2013; Bonefeld-Jorgensen et al, 2014; Hardell et al, 2014; Steenland et al, 2015). Other studies have demonstrated no association between PFAS exposure and these health effects (Inoue et al, 2004; Alexander and Olsen, 2007; Fisher et al, 2013; Chang et al, 2014).…”