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 nuclei, called reticulocytes, subsequently lose all other cellular organelles such as their mitochondria, Golgi apparatus and endoplasmic reticulum. The spleen acts as a reservoir of red blood cells, but this effect is somewhat limited in humans. In some other mammals such as dogs and horses, the spleen sequesters large numbers of red blood cells which are dumped into the blood during times of exertion stress, yielding a higher oxygen transport capacity. A typical human red blood cell has a disk diameter of approximately 6.2–8.2 µm and a thickness at the thickest point of 2–2.5 µm and a minimum thickness in