Each evolutionary adaptive step in a single selection pressure environment requires about (1/mutation rate replications). If adaptation to multiple simultaneous selection pressures is to have a reasonable probability of occurring, the number of replications goes up exponentially.
For example, the Kishony experiment takes about a billion replications for each adaptive step when the experiment is performed with a single drug. For that experiment to work with two drugs simultaneously, the number of replications necessary for each adaptive step goes to about a trillion. Kishony can get that experiment to work but he will need a petri dish thousands of times larger than his "mega-plate". The population sizes become so large for three simultaneous selection conditions that you have a successful treatment for HIV. Even HIV can't achieve the population sizes necessary to adapt under these conditions. And HIV has a very high mutation rate, does recombination, and exists in a huge carrying capacity environment.
Now consider an adaptive evolutionary process for human lineages. The total number of humans that have ever existed is about 100 billion, and 99% of those have lived in the last 10,000 years. You do not have the population size necessary for more than a small number of adaptive mutations. Adaptive evolution requires huge populations and recovery capabilities. Microbes, plants, and some small, rapidly reproducing small animals can meet the population requirements for adaptive evolution under very limited circumstances. But consider the population size necessary for the Lenski experiment to get 100 adaptive mutations. That experiment required 500,000,000 replications every day for 30 years. This is what the mathematics and empirical evidence reveals. This is not good news for the ToE but is great news if you want to develop treatment strategies for diseases that do microevolution.