“…Space flight adaptation syndromes are a product of the environmental conditions and the synergistic reaction of the systemic human physiology, which together combine to produce a combinatorial syndrome that must be resolved in order to safely inhabit and explore space, especially for extended periods [ 3 , 4 , 5 , 6 ]. This paper documents an exciting glimpse of current pertinent scientific literature sustaining the involvement of oxidative stress and damage (OSaD) [ 7 , 8 ] as a significant contributing factor in the following areas of Earth-based and space flight-related dysregulation of: (1) bone loss [ 9 , 10 , 11 , 12 , 13 ]; (2) cardiovascular function [ 14 ]; (3) immune insufficiency and metabolism [ 15 , 16 , 17 ]; (4) neurological impairment [ 18 ]; and (5) potential countermeasure implementation [ 18 , 19 ]. The cited literature illuminates the environmental challenges of spaceflight encompassing reduced gravity, radiation, varying atmospheric conditions, such as hyperoxia and hypoxia experienced during extravehicular and intravehicular activity (EVA/IVA), and evidence of synergistic effects that portend substantial consequences for long duration/exploration class missions.…”