In 2000 I was the Technical Scientific Director of Italian Federation. In July, I was in St. Moritz with a group of Italian athletes, including Maura Viceconte (NR in marathon winning Vienna in May with 2:23:47 and 32'05" of PB in 10000), Silvia Sommaggio (31'59" PB) and Sara Ferrari (33'03" PB), daughter of dr. Michele Ferrari.
How we use every two months, I had a blood test with all the group, for controlling the current situation. The 3 athletes had hematocrit between 38.2 (Sommaggio) and 39.6 (Viceconte), with hemoglobin between 11.2 (Sommaggio) and 11.8 (Ferrari).
When we received the results, Sara spoke with her father, who came St. Moritz for speaking with me. He was very worry about the results of these athletes, preparing the meeting in Heusden for trying the Olympic limit. I told him their training was very good, but he didn't believe possible to have good results with so low level of hematocrit.
We went Heusden, and the results were as follows :
Maura Viceconte 31:05.57 (NR, improving her PB of 1:00)
Silvia Sommaggio 31:24.12 (2nd national performance)
Sara Ferrari 32:25.44 (improvement of 38.0)
What does it mean this fact ? That Ferrari doesn't know what is doing ? No, it means that :
a) Cyclism and Running are two different sports. Runners have to stay at even pace for long time, and have to control the level of their lactate, because, if you go over your personal threshold, NEVER you can reduce that level while running. Instead, cyclists have a very low fatigue when in the group, with heart rate about 100, almost like people seated behind a desk, and after this have to go very fast, producing lactate at high level (over 18 mml). After, they have again the opportunity to recover. So, a cyclist must have the attitude of a 800m runner, instead of a marathon runner, more similar to cyclists "grimpeur".
When a cyclist wants to increase the speed, needs to use more muscle strength, because needs, for example, to use a gear with one tooth more. So, they can have advantage by some drug enhancing the strength (steroids, Grow Hormon), more than from EPO.
On the opposite, runners of long distance don't need very high power, but the ability in using a high percentage of it for long time. For improving this ability, they need a blood with low viscosity, in order to increase the velocity of the circulation and to reduce the work of the heart.
I explained before that the best athletes are able, with high mileage at high intensity, to increase of 20/25% their total volume of blood. This is possible with training only : with EPO they can reach the same ability in transporting oxygen, but with very high viscosity.
In any case, athletes with low mileage can have advantage using EPO, but NEVER can reach the same results possible with very hard and correct training. Instead it's true that athletes using in their training a lot of intervals at high speed (lactic training) need a very high aerobic support. Therefore, it's very easy to see in training who can use some drug and who doesn't use : if an athlete is able to train with fast intervals for long time, without losing his shape (on the contrary increasing his efficiency), and without using strong aerobic training, he is under doping, because he needs the aerobic support, but doesn't train in that direction. But, if we see athletes using strong aerobic training and fast intervals, they don't use any doping, because EPO in this case is useless.
At the end of every comment, we can say that using EPO can be a shortcut for arriving at the same level you can reach with tough training, but not to overtake that level. This for short distances, where the duration is not penalized by the high viscosity. Longer is the distance, less is the effect of EPO, and in long distances athletes can run faster WITHOUT any type of drug. There is a limit in the possibility to increase the ability in transporting oxygen, and if you have 1 liter of blood more in your body, you need very low viscosity. So, the situations can be summarized in this way :
1) EPO with high viscosity
2) More blood with low viscosity
It's not possible to have more blood with high viscosity, because when we have to do a even effort for long time at high intensity this situation is very dangerous, and doesn't work in any practical way.
2) The doctors of cyclism have experience about the fact the use of doping can enhance the performances of the cyclists, BUT DON'T HAVE EXPERIENCES ABOUT HOW A CORRECT TRAINING CAN ENHANCE THE SAME PERFORMANCES.
When you want to do a research, you need to use the so called "double blind", for comparing the effects of the pharmac with the placebo effects. In the case of cyclism, NEVER THERE WAS SOMEBODY TRYING TO SEE WHAT HAPPENS WITH A CYCLIST USING EPO FOR SOME PERIOD, AND GOING COMPLETELY CLEAN BUT WITH MORE TOUGH TRAINING FOR ANOTHER PERIOD.
So, it's true that doping can give advantages with athletes with a low level of training ; but can't give any advantage for athletes using very hard and continuous training.
Different is the situation of the steroids : only looking at the WR in throwing and jumping, and the WR for women in sprint, jumps and throws, dated before 1988, it's clear that with the only training is not possible to reach the same level of muscle strength that athletes can reach using steroids.
Personally, I suppose the next frontier of medicine can be in the field of nervous system : the sprinters of today are not strong as muscle power like the sprinters of 20/30 years ago, but their frequency is higher. So, I think that, if there is some new doping, is in this field. And everybody understand that there is no connection with what athletes of long endurance need.