A double blind study on EPO with all the subjects having a VO2max over 80 mL/kg/min will never happen.
I know that the study from Conconi from 1988 was on serum erythropoietin levels in XC skiers, and not the actual use of recombinant EPO in the skiers.
Do you know the history of Dr. Francesco Conconi?
Dr. Conconi was doping Italian runners, cyclists, swimmers, rowers, XC skiers, speed skaters, wrestlers, etc. since the year 1980 with autologous blood transfusions. Michele Ferrari was his lab assistant. They added EPO to the autologous blood transfusions when EPO when became available. Dr. Conconi is generally regarded as the guy who introduced EPO to the sport of professional cycling. He even doped himself with EPO at the age of 59 for a mountain bike race where his hematocrit was 57%.
Let's take a look at the history of Dr. Francesco Conconi:
It was on 14 August 1980 that Professor Conconi submitted a proposal to the Italian National Olympic Committee (CONI) proposing that selected Italian athletes be assisted by staff of the University to improve their performance. Conconi proposed that he help athletes in the sports of cycling, canoeing, rowing, long distance skiing, speed skating, swimming and wrestling. The Olympic committee (CONI) accepted the offer. According to Sandro Donati, a coach of the middle distance running team from 1981 onwards, this method of preparation was blood doping.[2] Professor Conconi approached Donati regarding improving the performances of his athletes with estimations of the improvements at 3 to 5 seconds for 1,500 metre races, 15 to 20 seconds for 5,000 metre races and 30 to 40 seconds for 10,000 metre races.[3]
There was a partnership between the Olympic Committee and Professor Conconi's biomedical research centre at the University of Ferrara and the Olympic Committee financed his research.[4] According to Donati, Professor Conconi together with the Italian Athletics Federation and a major Italian Research Institute administered testosterone and anabolic steroids to athletes for events in the 1980s.[3] Over several years, CONI funded the research of Professor Conconi with over two million euros.
The work of Professor Conconi and his many assistants at the Ferrera University produced great results in sport. In the 1992 and 1994 Winter Olympics, Italy won 34 medals. Many of the athletes had hematocrit levels of over 50%.[2]Conconi had listed subjects' names, gender, sport, date of analysis as well as whether or not they were treated with EPO. Despite funding by CONI and the IOC to come up with an EPO detection test, Conconi was using the money to buy the drug and then administered it to athletes who were also paying Conconi.[12] Conconi is said to have made a technique to balance EPO, Blood Thinner and Human Growth Hormone in a mixture that Athletes could take safely and pass doping tests without testing positive. With this ability to safely take EPO, Donati estimated that 60 to 70% of the peloton used EPO in the mid-1990s.[13]
Bjarne Riis the 1996 Tour de France winner was a rider of the Gewiss team and was treated with EPO in 1994 and 1995 in Conconi's Institute in Ferrara. During the 1996 season Riis was coached with one of Conconi's assistants Cecchini and would win the Tour de France.[17]
On October 18, 1995 Pantani was taken to hospital after an accident in the Milano–Torino race where a hematocrit percentage of 60.1% whereas in the previous June it had been 45%.[23][24] At this time there was no limit to the hematocrit level but the large fluctuation was suspicious.
Alexandre de Merode, a former President of the IOC's Medical Committee appointed Conconi as a member of the medical committee and funded Conconi's alleged research into a test to detect the use of EPO. During this time the President of CONI from 1993 to 1998, Dr. Mario Pescante, suppressed a report by Donati which indicated Conconi's involvement in doping.[2]
In 1999 the investigations into the doping activities of Conconi began. About twenty doctors and researchers from Professor Conconi's Biomedical Research centre were under investigation.[4] In an investigation in front of Judge Piero Messini D'Agostini two hematologists submitted a report in which they concluded that the blood values of athletes treated by Conconi indicated doping.[25]
In 2000 Italian Public Prosecutor Pierguido Soprani alleged that Conconi drugged himself. This was because Conconi at the age of 59 recorded a hematocrit value of 57% while competing in a Mountain Bike Race on 3 September 1994.[10]
Computer files of Conconi that were seized in the investigation were later reported about in the press. These files were for patients of Conconi and included Ivan Gotti, Pavel Tonkov, Abraham Olano, Marco Pantani, Tony Rominger, Gianluca Bortolami and Giorgio Furlan. These files showed hematocrit variations in individuals during treatments. Ivan Gotti's hematocrit went from 35.2% in January 1997 to 50.7% in June 1998. Marco Pantani's level went from 40.7 in March, 1994 to 58% in June and July 1994. During the 1995 Tour de France, Pantani had a level of 56% and after his accident in Milano–Torino it was 60%. Claudio Chiappucci had a hematocrit level of 35% in January 1994 to 60% in June, 1994 after he came fifth in the 1994 Giro d'Italia.[26]
In 2004 Judge Oliva alleged that the athletes treated at the Institute indeed had taken EPO during the 1993 season but due to the statute of limitations, none would be prosecuted.[27] The Judge found Conconi 'morally guilty'.[28] The judge had looked at medical reports of 33 cyclists in the period 1993-1995, including Chiappucci's, and all blood tests showed largely fluctuating hematocrit-values, indicative for EPO-use.[29]
https://en.wikipedia.org/wiki/Francesco_Conconi
Asli Alptekin lost her 1500m gold for doping. Ramzi lost his 1500m gold for doping. Genzebe Dibaba and Tirunesh Dibaba were at the same hotel in Sabadell as Jama Aden during Operation Rial in Spain, where the 4 different types of EPO were found with the 62 used syringes and 23 syringes preloaded with EPO. Genzebe broke the old 1500M world record held by Qu Yunxia of China, which was set in 1993.
Spain has had Operation Puerto with Dr. Fuentes and his 211 bags of blood in 2006, then Operation Galgo in 2010 with Ms. Fernandez, and Operation Rial with Jama Aden and the Dibabas in 2016.
The women's marathon all-time performance list has 2 out of the top 5 women of all time banned for doping (Russian Liliya Shobukhova 2:18:20 and Kenyan Rita Jeptoo 2:18:57). This means that 40% of the top 5 women of all time in the marathon are dopers. I think we should also include Ms. Paula Radcliffe. She is about 3 minutes faster than the 2nd fastest woman of all-time Liliya Shobukhova (Russian doper).
Then it would be 3 out of the top 5 women of all time in the marathon are dopers. This would increase the percentage to 60%.
Do you think that all of this is just a placebo effect?