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I'm noting he, The Pride of San Jose, along with Matt "Megatoad" Stonie, train their stomachs to perform those feats. It's not just Nathan's Famous Beef Franks he trains on, but a multitude of foods.
It is quite a feat and yes they seem to enter other food eating contests. Do you think he tosses it all back up shortly after eating all those dogs, or does he digest it ?