Physiology of marathons amounts of blood to and from the lungs to reach all bodily tissues is dependent on having a high cardiac output along with sufficient levels of total body hemoglobin. Hemoglobin is the oxygen carrying protein within blood cells that allows for the proper transportation of oxygen from the lungs to other bodily tissues via the circulatory system. In order for the transportation of oxygen in blood to be effective during a marathon, the distribution of blood needs to be equally efficient in order for a marathoner's oxygen demands to be met during a race. The mechanism that allows for this
Red blood cell form. When red blood cells sometimes occur as a stack, flat side next to flat side. This is known as "rouleaux formation", and it occurs more often if the levels of certain serum proteins are elevated, as for instance during inflammation. Red blood cells can be obtained from whole blood by centrifugation, which separates the cells from the blood plasma in a process known as blood fractionation. Packed red blood cells, which are made in this way from whole blood with the plasma removed, are used in transfusion medicine. During plasma donation, the red blood cells are pumped back into