“…Hence, the current omega-3 fatty acid, β-alanine and carnosine intakes from the 55% carbohydrate, 30% fat, and 15% protein macronutrient ratio is insufficient to improve immune health. In contrast, diets rich in these nutrients, or through a combination of supplementation and/or exercise, improved immune system and musculoskeletal health [ 1 , 6 , 12 , 13 , 14 , 20 , 21 , 22 , 23 , 24 , 36 , 37 ]. Given (1): the nutritional requirements to maintain immune system function and the demands of in-flight exercise for missions of increasingly longer durations [ 1 , 2 , 7 , 9 , 10 , 11 , 14 , 31 ], and (2): the beneficial effects of adequate nutrition, with or without concurrent exercise, on immune system and musculoskeletal health [ 1 , 2 , 7 , 9 , 10 , 14 , 31 ], current results, in combination with previously published works, imply in-flight supplementation of omega-3 fatty acids, β-alanine and carnosine may be a prudent countermeasure to help abate the physiological and mental challenges incurred by astronauts on future long-term space flights.…”