Gels and Sports Drinks Together: What Actually Causes the GI Distress

Gels and Sports Drinks Together: What Actually Causes the GI Distress

The Verdict  |  RealFUEL+ Myth-Busting Series  |  Episode 04  ·  Phase 2: During Exercise

Gels and Sports Drinks Together: What Actually Causes the GI Distress

Published by RealFUEL+ Singapore

Educational notice: General educational information, not personalised medical or nutritional advice. Gastrointestinal tolerance during exercise varies substantially between individuals. Consult a qualified sports dietitian or healthcare professional for personalised guidance.

You’ve probably heard this one: “Never take an energy gel with a sports drink — you’ll destroy your stomach.”

It sounds like settled science.

It isn’t.

The Myth

Taking a gel with a sports drink causes stomach trouble because of the combined sugar.

The Verdict

⚠️ Partly True

It’s the carbohydrate load and concentration that trouble your gut — not the act of combining two products.

The Science

The discomfort is real. The explanation is wrong. It is not the combination that causes trouble — it is total carbohydrate load, solution concentration, exercise intensity, heat, and how well your gut has been trained for it.

If you remember one thing

Count total carbohydrate per hour — not the number of products you are mixing.

What the myth gets right

An athlete who takes a concentrated gel and washes it down with a carbohydrate sports drink is delivering a large carbohydrate load to the stomach in a short window. Gastrointestinal complaints during endurance exercise are common, and the research literature identifies carbohydrate load and solution concentration among the contributing factors.[1]

Work using gastric aspiration techniques found that the rate at which fluid leaves the stomach is strongly influenced by the carbohydrate energy content of what was swallowed. Concentrated carbohydrate solutions emptied considerably more slowly than dilute ones.[2] So the anecdote behind the myth is usually a true report of a real event.

Where it goes wrong

The variable in that research is concentration and total carbohydrate load — not the act of combining two products. A gel taken with water plus a sports drink taken separately can arrive at the same carbohydrate concentration as a gel taken with a sports drink, depending entirely on quantities. The gut does not know which packaging the carbohydrate came from.

This matters practically, because the myth leads athletes to the wrong correction. The fix that actually follows from the evidence is simpler: pay attention to how much carbohydrate you are taking per hour, and how concentrated it is when it arrives.

Mixing may be part of the solution

Carbohydrate absorption in the small intestine is transporter-dependent, and the transporter handling glucose approaches saturation somewhere around 60 g per hour.[3] Combining carbohydrate types that use separate intestinal transport routes — glucose alongside fructose — raises that ceiling. A critical review of glucose–fructose composite formulations reported enhanced carbohydrate oxidation and improved gut comfort relative to single-saccharide formulations.[4] That review drew mostly on cycling studies in men, so the population is narrower than the advice it gets used to justify.

In other words: at higher intakes, research suggests mixing carbohydrate types may be part of the solution rather than the problem.

The variables the myth ignores

Blood flow is redistributed away from the digestive tract during hard exercise. Controlled work in healthy men demonstrated that exercise-induced splanchnic hypoperfusion produces measurable gut dysfunction.[5] This is intensity-driven and happens regardless of what you swallowed.

Heat compounds it. Research in endurance athletes running under moderate environmental heat stress found elevated circulating markers of gastrointestinal integrity disruption compared with cooler conditions.[6] For athletes training in Singapore — mean annual relative humidity around 82%, afternoon temperatures above 32°C during inter-monsoon periods[7] — this is not a marginal consideration.

The part almost nobody mentions

Gut tolerance is adaptable. Research on training the gastrointestinal tract indicates that gastric emptying, stomach comfort, and carbohydrate absorption capacity can all improve with deliberate practice, with measurable symptom reductions reported over roughly two weeks.[8] The athletes who tolerate higher carbohydrate intakes are frequently the ones who have practised doing so.

Where honey-based gels sit in this

Honey contains naturally occurring glucose and fructose in meaningful proportions rather than a single sugar type.[9] That means a honey-based gel already delivers carbohydrate across more than one intestinal transport route without anything being added. But natural composition does not suspend absorption ceilings, and any product marketing implying otherwise should be treated with suspicion — including ours.

What to do instead

Work out your hourly carbohydrate target for your event duration using the Race-Day Fuelling Calculator, rehearse it at race-like intensity, and adjust based on what your gut actually tells you. For the fuel you take before the start — where none of these in-race variables apply — see The Pre-Load Protocol.

Practical Takeaway

  • Track your total carbohydrate per hour — not the number of products you’re mixing.
  • Keep the concentration in check: pair concentrated gels with water.
  • Rehearse your race-day combination at race-like intensity, not on an easy jog.
  • Account for heat — a Singapore afternoon changes how your gut copes.
  • Build gut tolerance gradually; never trial a new intake on race day.

Continue The Verdict Series

Phase 1 — Foundations: Ep 01  ·  Ep 02  ·  Ep 03
Phase 2 — During Exercise: Ep 04 (you are here)  ·  Ep 05
Phase 3 — Performance: Ep 06  ·  Ep 07

Episode 03: More Caffeine Doesn’t Mean More Performance

Episode 05: Salt Tablets Prevent Cramp

Referenced Products

Nomad Honey Gel Starter Kit — all five variants for training and endurance sessions.

Bear DUO Trial Pack — the smallest way to rehearse carbohydrate fuelling in training before race day.


References

  1. de Oliveira EP, Burini RC, Jeukendrup A. Gastrointestinal complaints during exercise. Sports Medicine. 2014;44(Suppl 1):S79–S85.
  2. Vist GE, Maughan RJ. Effect of osmolality and carbohydrate content on gastric emptying. J Physiol. 1995;486(Pt 2):523–531. [n=6 healthy males, at rest]
  3. Jeukendrup AE. Role of multiple transportable carbohydrates. Curr Opin Clin Nutr Metab Care. 2010;13(4):452–457.
  4. Rowlands DS, et al. Fructose–glucose composite carbohydrates and endurance performance. Sports Medicine. 2015;45(11):1561–1576. [14 studies, predominantly male cyclists]
  5. van Wijck K, et al. Exercise-induced splanchnic hypoperfusion results in gut dysfunction. PLOS ONE. 2011;6(7):e22366.
  6. Beiter T, et al. Impact of moderate environmental heat stress during running on gastrointestinal integrity. Physiol Rep. 2025;13(7):e70305.
  7. Meteorological Service Singapore. Climate of Singapore. www.weather.gov.sg. Accessed July 2026.
  8. Jeukendrup AE. Training the gut for athletes. Sports Medicine. 2017;47(Suppl 1):101–110.
  9. Bogdanov S, et al. Honey for nutrition and health. J Am Coll Nutr. 2008;27(6):677–689.

Frequently Asked Questions

Can I take an energy gel with a sports drink?

There is no evidence that combining the two is inherently a problem. What matters is the total carbohydrate you take per hour and how concentrated it is when it reaches your stomach.

Why did my stomach react badly to a gel during a race but not in training?

Blood flow is diverted away from the digestive tract as exercise intensity rises. Heat adds further strain. A gel tested only on an easy session has not really been tested for race conditions.

Should I take gels with water instead of a sports drink?

Taking a gel with water is a reasonable default because it keeps concentration lower. The more useful principle is to know your hourly carbohydrate target and to have rehearsed however you plan to reach it.

Does mixing different types of carbohydrate cause stomach problems?

Research suggests the opposite may apply at higher intakes. Glucose and fructose use separate intestinal transport routes, and reviews report improved gut comfort with glucose-fructose formulations.

Can I improve how much fuel my stomach tolerates?

Yes. Gut tolerance is adaptable. Research on training the gut indicates absorption capacity and comfort can improve with deliberate practice over roughly two weeks.


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