I read through the evidence and one particular part mentioned that EPO testing is done on ratio values, and that altitude training and oxygen tents can be used to increase natural EPO production so that the ratio of synthetic to natural is within range to appear normal.
Which begs the question: How many runners are using altitude training/altitude tents and EPO in conjunction knowing that it can thwart the EPO readings?
Here is that telling section:
Source:
http://www.businessinsider.com/how-lance-armstrong-never-tested-positive-2012-10
""Dr. Ferrari recognized that the EPO testing method works through separating and measuring the quantity (known as “intensity”) of various types of EPO and comparing the ratio of EPO bands in what is known as the “basic” region (where the bands tend to be caused by the administration of synthetic EPO) to bands in the acidic region (where the bands are naturally produced). However, because the test operates by measuring a ratio, the test can be fooled to a degree by increasing the amount of EPO in the acidic region (i.e., those produced naturally),which can be accomplished by stimulating natural production of EPO either through going to altitude or by sleeping in an altitude tent (also known as a “hypoxic chamber”). Dr. Ferrari advised the use of hypoxic chambers to reduce the effectiveness of the EPO test in detecting the use of synthetic EPO. Regular training at altitude (such as at St. Moritz, Tenerife or Aspen) would achieve a similar result.""