"Dangerous marine animals aside, the [Gulf of 'Aqaba] swim was among Cox's most physically challenging. A battery of scientific studies done on Cox over the years has revealed some startling facts about her physiology. First, the muscle and fat in her body are so perfectly balanced that she has neutral buoyancy, meaning that she neither sinks in water nor floats. As one researcher told her, "You're at one with the water" - a critical energy-saving advantage during long-distance swims.
More remarkable, however, was the discovery that Cox's body is superbly adapted to cold temperatures. On entering cold water, a person's surface blood vessels constrict, forcing warm blood to the vital organs at the body's core. Normally, however, this is a stopgap that works for only a short time. By contrast, Cox's vital organs are insulated by an evenly distributed layer of insulating fat. Warm blood shunted to her core remains warm dramatically longer. So effective is this "internal wet suit," that Cox's temperature actually rises during a hard swim in cold water."