Episode 66 Why Athletes Get Sick Right Before Race Day 🤒 episode artwork

EPISODE · Jun 5, 2026 · 20 MIN

Episode 66 Why Athletes Get Sick Right Before Race Day 🤒

from LACTATE · host LACTATE

Episode 66 Why Athletes Get Sick Right Before Race Day 🤒💬 Got a question or feedback? Write us at: [email protected]☕ Buy a Gel Caf for Lactate to support the work: ko-fi.com/lactateSummary: It's the ultimate paradox: you're in peak physical condition, but days before your goal race, a sore throat and cough derail your performance. This episode dismantles the decades-old "Open Window" theory that claimed hard exercise destroys your immune system. Based on a landmark 2018 systematic review, we reveal the truth: your immune cells don't die; they are strategically redeployed to your lungs and gut for heightened surveillance. We explore the real culprits behind "Taper Flu." First, the "Let-Down Effect," where the sudden drop in stress hormones during your taper unmasks latent viruses you contracted weeks ago. Second, Psychoneuroimmunology (PNI), which shows how pre-race anxiety crushes your mucosal immunity (salivary IgA), opening the door to infection. Third, the shocking fact that up to 70% of your symptoms may be non-infectious airway inflammation—a "fake" cold caused by mechanical trauma from heavy breathing. Learn the actionable strategies to protect yourself: why you must taper your mind as well as your body, the danger of cutting calories, and how to use sleep and hygiene to arrive at the start line healthy and ready to perform.Keywords: immunology, taper, overtraining, psychoneuroimmunology, cortisol, open window theory, upper respiratory tract infection, marathon, endurance🎙️ Lactate, the podcast that deciphers science to improve your performance.Key references :Campbell, J. P., & Turner, J. E. (2018). Debunking the Myth of Exercise-Induced Immune Suppression: Redefining the Impact of Exercise on Immunological Health Across the Lifespan. *Frontiers in Immunology, 9*, 648. https://pmc.ncbi.nlm.nih.gov/articles/PMC5911985/Peters, E. M., & Bateman, E. D. (1983). Ultramarathon running and upper respiratory tract infections. An epidemiological survey. *South African Medical Journal, 64*(15), 582–584.Nieman, D. C., et al. (1990). Los Angeles Marathon Study. *J. Sports Med. Phys. Fitness*.Krüger, K., & Mooren, F. C. (2019). Current Knowledge and New Challenges in Exercise Immunology. *German Journal of Sports Medicine*. https://www.germanjournalsportsmedicine.com/archive/archive-2019/issue-10/current-knowledge-and-new-challenges-in-exercise-immunology/Vingerhoets, A. (2002). Leisure Sickness: A Biopsychosocial Perspective. *ResearchGate*. https://www.researchgate.net/publication/26571455_Leisure_Sickness_A_Biopsychosocial_PerspectiveGleeson, M., et al. (2011). Cytokine gene polymorphisms and risk for upper respiratory symptoms in highly-trained athletes. *PubMed*. https://pubmed.ncbi.nlm.nih.gov/20839488/Voices generated by artificial intelligence from the scientific report produced by the Lactate team.

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Episode 66 Why Athletes Get Sick Right Before Race Day 🤒

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