Upper- and lower-gastrointestinal (GI) symptoms are highly prevalent among athletes during exercise (especially endurance athletes) and can negatively impact performance. In severe cases it can pose health risks too. So what’s really going on in our guts when we’re exercising at a high-intensity level? We asked Drew Triplett, DO from Dayton Gastroenterology to join the show and help explain exercise-induced GI distress. As a marathon runner, Dr. Triplett has a unique perspective and offers some tips for athletes trying to regulate their digestive system during training or events. This episode is produced in collaboration with the American College of Gastroenterology’s Patient Care Committee.