I've been wondering about this a lot in recent years. Particularly in regards to medications/pharmaceuticals but also environmental containments/traces (which can include pharmaceuticals of course), pair with this what we are just starting to understand about plastics exposure and pervasiveness and I really wonder why more health research and workplace safety resources aren't being directed to look at compound and long term exposures.
Probably because no one wants to find the various smoking guns alongside the fears of what each of the ensuing lawsuits would cost. Ignorance is bliss as they say.
But if the threshold effect is 1 microgram, and you're exposed to 1 picogram of 10 different chemicals all working through the same pathway, you're still below the threshold effect.