A named marathon fills an approximate elevation profile. A GPX file uses the elevation in the track. You will see the first 5 miles before anyone asks for a card.
Course Pace Band is a pacing chart, not a prediction that you will run the goal time, and not medical advice. Preset elevations are approximate planning profiles, not a survey. A GPX file is only as good as its elevation track. Heat, wind, and crowds will move the clock.