It was instantly apparent that this mission had a tangible cost when NASA released photos of Sunita Williams and fellow astronaut Butch Wilmore returning to Earth. Williams, 59, was much thinner, with her face looking more haggard, her hair looking greyer, and her wrists looking frail. These, according to medical professionals, are warning indicators of the severe physiological stress that prolonged space travel might cause.

Initially, Williams and Wilmore were only supposed to launch on June 5, 2024, and stay on the ISS for eight days. However, due to technical issues with Boeing’s Starliner spaceship, their brief journey became a 286-day microgravity marathon. The repercussions were evident when they eventually splashed down off the coast of Florida.

Bone Density Decline, Muscle Wasting, and Weight Loss

Williams’ noticeably thin wrists, which may be an indication of severe muscle loss, have alarmed doctors. “Muscular atrophy, particularly in the forearm muscles, is common after long-duration spaceflight due to reduced use of these muscles in microgravity,” revealed UK general practitioner Dr. Olalekan Otulana in a Daily Mail article.

Additionally, Williams has probably lost bone mass and weight, according to Dr. John Jaquish, a biological engineer at Jaquish biological. You don’t digest food as well if you don’t have gravity. That speeds up the loss of muscle and bone when paired with restricted mobility,” he told DailyMail.com.

Because their bone structures are lighter and their estrogen levels drop after menopause, women are especially susceptible to bone density loss. Pulmonologist and Air Force veteran Dr. Vinay Gupta said: “I’m not shocked to see this in Williams. These factors typically have a greater effect on women than on males.

According to reports, this was a problem when she was on the ISS. Williams struggled to maintain the high-calorie diet needed to maintain muscle mass, a NASA source told the New York Post in November. Her stomach may have shrunk as a result of her body adapting to smaller quantities, making it more difficult to rapidly regain the weight she lost.

Unbalanced Electrolytes and Hydration
According to Dr. Otulana, the IV that was visible on Williams’ wrist in NASA photos was probably there for rehydration. Dehydration results from the body being tricked by microgravity into removing fluids. After landing, it’s imperative to reintroduce fluids to help with circulation and avoid vertigo.

The images also showed balance problems, with NASA staff clearly assisting Williams and Wilmore. “Someone is holding onto them because they could easily topple over,” Dr. Jaquish noted. Their bodies no longer know how to maintain equilibrium in the face of gravity.

The Stress of Prolonged Spaceflight on the Mind
The story goes beyond the physical difficulties. According to psychiatrist Carole Lieberman, physical decline could not be the only factor contributing to Williams’ seeming weakness. She lived with the fear that she would never be saved for nine months. The body and mind suffer greatly under that amount of stress.

Throughout the trip, Williams publicly remained optimistic, but Lieberman thinks the psychological toll was tremendous. “She put on a brave face, but knowing that you might never make it home—it’s a nightmare scenario.”

The Prolonged Recuperation Process
Although rehabilitation won’t be simple, specialists are hopeful. To regain strength, Williams and Wilmore will need to progressively resume solid foods, emphasizing calorie-dense choices like meat and dairy. Additionally, exercise will be gradually resumed, beginning with simple motions like standing and sitting and working up to weight-bearing exercises.

Because Williams’ body is naturally thin, Dr. Jaquish warns that her recuperation could take longer: “She may need extra time to regain bone density to avoid a fragility fracture.”

It is anticipated that both astronauts would fully recover despite the difficulties. “There’s nothing permanent about this,” Dr. Jaquish stated. “With targeted nutrition and exercise, they’ll bounce back.”

The tremendous strain that spaceflight takes on the human body is demonstrated by Williams’ journey. Keeping astronauts healthy in microgravity will become ever more important as space agencies aim for longer missions, eventually to Mars. For the time being, everyone is watching Sunita Williams as she sets out on her next task: gradually regaining her strength on Earth.