This case explores the journey of AK, a 22-year-old college wide receiver with previously overlooked symptoms of shortness of breath and coughing during workouts. His condition, flagged during an NFL tryout physical, is ultimately diagnosed as exercise-induced bronchoconstriction (EIB) without underlying asthma. This case guides learners through pharmacologic and non-pharmacologic management strategies, emphasizes sport-specific medication considerations, and explores clean sport compliance—especially for elite athletes under regulatory scrutiny. With real-world context and layered clinical reasoning, this case is a powerful teaching tool for sports health professionals.