Human bodies really can’t handle space. Spaceflight damages DNA, changes the microbiome, disrupts circadian rhythms, impairs vision, increases the risk of cancer, causes muscle and bone loss, inhibits the immune system, weakens the heart, and shifts fluids toward the head, which may be pathological for the brain over the long term—among other things.

— Sarah Scoles, Why We’ll Never Live in Space, Scientific American, 2023