All About Salbutamol

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What will the verdict in Froome's salbutamol case?

  • He will be cleared

    Votes: 43 34.1%
  • 3 month ban

    Votes: 4 3.2%
  • 6 month ban

    Votes: 15 11.9%
  • 9 month ban

    Votes: 24 19.0%
  • 1 year ban

    Votes: 16 12.7%
  • 2 year ban

    Votes: 21 16.7%
  • 4 year ban

    Votes: 3 2.4%

  • Total voters
    126
Re: Re:

bigcog said:
thehog said:
bigcog said:
https://twitter.com/DickinsonTimes/status/1015515615581401088

Froome making sure the UCI can’t purchase anymore X-rays equipment :cool:

Lappartient confirms UCI spent 250,000 CHF on legal side on Froome case

Ah you are so cynical :lol:

Nah, I’m just enjoying how Lappy is dropping bombs all over the place for people to work out Froome is a fraud :p
 
Re: Re:

thehog said:
bigcog said:
thehog said:
bigcog said:
https://twitter.com/DickinsonTimes/status/1015515615581401088

Froome making sure the UCI can’t purchase anymore X-rays equipment :cool:

Lappartient confirms UCI spent 250,000 CHF on legal side on Froome case

Ah you are so cynical :lol:

Nah, I’m just enjoying how Lappy is dropping bombs all over the place for people to work out Froome is a fraud :p

Lappy saying he knows who leaked case, said it wasn't UCI although he would say that .. Can't see it being Sky as it makes no sense, so who is it ? I don't trust Lappy one bit, a politician personified.
 
Re:

Merckx index said:
samhocking said:
I think you're putting too much importance on the AAFs urine level and assuming WADA publish everything. Clearly there will be various WADA research that they use to catch dopers, so that would never be released publically, that's the tools of their trade. The other think is, the AAF urine level doesn't actually hold much weight legally for WADA because it can't legally say how much you took.

I would say WADA have there own studies of athletes taking permitted doses and they know how wide that variation is longitudinally and if use is ramped up within that time. All they had to do was look at Froomes previous 20 urine levels and what Froome told them he inhaled that day and if the fluctuations of his sample correlate with their own findings, clearly their own findings confirmed how many puffs Froome claimed he used each sample. To me, it seems WADA are very aware the likelihood of false positives and although the rules realtivey defined, each case is looked at individually due to how much variation actually exists over longer testing periods.

They may not publish everything, but given they published the 1600 ug study, there’s no reason why the 800 ug study wouldn’t be published. I expect it will be eventually, though a big question remains: why did they wait so long to do it? The 1600 ug study was published in June 2016, which means they had all the data and conclusions a year and a half before Froome's AAF. They knew at that time that 800 ug was the twelve hour limit, so more relevant to anti-doping studies. Why didn't they embark on that study then? Maybe Backer had other commitments, I don't know. But they should have had those data in hand when Froome's AAF came to light; it seems they didn't.

In any case,what might not be published are studies of riders who received AAFs that never went public, but those have little value because one doesn’t know how much salbutamol the riders took. Obviously a scientific study can’t be based on unconfirmed values. What matters most are the controlled studies in the lab. And the same wrt Froome’s values. WADA has to take his word for them, I doubt very much there is independent verification of them.

People are wrongly assuming there has been some kind of case here with Froome because the media are simply guessing too what was happening. There was no case, there was UCI's 'review' of the AAF. After that review, UCI gave WADA their review findings and WADA said, "there's no AAF here".

It was reported that UCI proposed a sanction. If you have evidence they didn’t, please link it. It was also reported that Haas was appointed as judge, which only happens after a rider is given a Letter of Consequences, and refuses to accept it. Again, if you evidence for the contrary, please provide it. Otherwise, you’re just spinning your wheels.

The UCI shall have the burden of establishing that an anti-doping rule violation has occurred. The standard of proof shall be whether the UCI has established an anti-doping rule violation to the comfortable satisfaction of the hearing panel, bearing in mind the seriousness of the allegation which is made.

Interesting how you quote the rules when (you think) it suits your purposes, while arguing that certain things aren’t in the rules (presumed AAF; confirmed AAF) when you can’t find them there.

Yes, that’s what they do when they furnish a laboratory test. If no problems with the testing procedure can be found, then by article 2.1 of the Code, it’s an ADRV. There is also this provided as a "rules of proof" from the WADA Code 3.2.1:

Analytical methods or decision limits approved by WADA after consultation within the relevant scientific community and which have been the subject of peer review are presumed to be scientifically valid.

At this point, the burden of proof is on the athlete, as the rest of this passage indicates:

Where these Anti-Doping Rules place the burden of proof upon the Rider or other Person alleged to have committed an anti-doping rule violation to rebut a presumption or establish specified facts or circumstances, the standard of proof shall be by a balance of probability.

So when we say the burden of proof is on the athlete, of course we mean after a positive test has been established. Which is a usually an A and a B, or a decision limit for a threshold substance. Of course the initial burden of proof is on UCI. You can’t just say to a rider with no positive test, you have an ADRV, that’s bloody obvious. But as soon as there is a positive, then the burden shifts to the athlete.

This is why it’s said the burden of proof is on the rider. And it was supposed to be on Froome, too, unless he could pass the CPKS, which I will get to in a moment.

Also note:

This standard of proof in all cases is greater than a mere balance of probability but less than proof beyond a reasonable doubt.

If you think Froome wasn’t guilty by that standard, I have a bridge for sale.

Now about this CPKS. Here’s what WADA said:

In Mr. Froome’s case, WADA accepts that a CPKS would not have been practicable as it would not have been possible to adequately recreate the unique circumstances that preceded the 7 September doping control (e.g. illness, use of medication, chronic use of Salbutamol at varying doses over the course of weeks of high intensity competition).

Now look at what UCI said:

The UCI did not take its decision based on the fact that Mr. Froome “took a certain number of medicines to treat [an infection]”, “other elements linked to his diet” or “dietary supplements” as referred to by WADA’s Scientific Director in recent interviews. The UCI considered those factors irrelevant and/or not substantiated. The UCI thus only took into consideration the elements listed in the section above, however it is possible that WADA had access to unpublished information that the UCI was not aware of.

IOW, UCI rejected two of three factors that WADA claimed made it impossible for a CPKS study to be undertaken. Though UCI did concede that WADA might have access to unpublished studies, in fact WADA has never claimed to have done unpublished studies of the effect of illness or medications on salbutamol levels. And there’s not much in the literature. None is listed in the past WADA projects.

That leaves only “chronic use of Salbutamol at varying doses over the course of weeks of high intensity competition.” But that would be true for any rider who tested over the limit in a GT, such as Petacchi and Ulissi. And if it means any rider who was in a GT didn’t have to take the test, then you might as well say all riders, because any lawyer can argue that a one-day race, coming after hard training, would provide similar conditions.

So WADA’s rationale for allowing Froome to skip the CPKS test basically falls apart. The only justification they have is one that every other rider could use.

bigcog said:
https://twitter.com/DickinsonTimes/status/1015515615581401088

WADA says 57 salbutamol AAFs (what? I thought they never existed!) in previous five years, rougly in line with his previous statement of 15-20 per year. About half, 30, resulted in sanctions. The question is, how many of the 27 that didn't were because of TUEs. Rabin previously said most dismissals were because of TUEs.

There can't be a sanction until the AAF is confined in exactly the same way there can't be a sanction for EPO until the A sample is confirmed, either by B Sample or athlete accepting the A Sample.
Overriding everything you've said is the AAF never got past the explanation stage and WADA said there was no AAF. For there to have been a sanction, Froome's AAF needed to be confirmed, then sanctioned with an ADRV. WADA came back and undone the original AAF and Froome was cleared, so clearly there was never a sanction on the table.

As for presumed and confirmed. Confirmed is anti-doping terminology where the A sample is confirmed by the B or confirmed by the rider. For Salbutomol the athlete is allowed explanation before UCI/WADA confirm the AAF. While that explanation is taking shape the AAF is presumed to be an ADRV yet to be confirmed. It's not part of a rule or how things need to be described, but it's how WADA and Sky have described a leaked AAF in Froomes case for whatever reason. Never has the public known about an AAF so early. During the period it is being explained by the athlete it is not a confirmed AAF, that's all they mean in 'legal' terms by presumed.

For the 2 items rejected by UCI, but not WADA, I think there's clearly Salbutomol knowledge used by WADA in their decision making nobody knows about. I can't see any possible benefit for publishing data you are using to protect innocent athletes and on the flip of that assume could be of use to athletes that want to abuse salbutomol if they knew what WADA are looking or rather not looking for in those publications.

I repeat again though, no matter what we think happened, in terms of WADA results management Froome's AAF never got past that explanation stage because otherwise UCI confirmed his AAF and then WADA/UCI unconfirmed it, which clearly never happened.
 
Re: Re:

bigcog said:
thehog said:
bigcog said:
thehog said:
bigcog said:
https://twitter.com/DickinsonTimes/status/1015515615581401088

Froome making sure the UCI can’t purchase anymore X-rays equipment :cool:

Lappartient confirms UCI spent 250,000 CHF on legal side on Froome case

Ah you are so cynical :lol:

Nah, I’m just enjoying how Lappy is dropping bombs all over the place for people to work out Froome is a fraud :p

Lappy saying he knows who leaked case, said it wasn't UCI although he would say that .. Can't see it being Sky as it makes no sense, so who is it ? I don't trust Lappy one bit, a politician personified.

You want selfie Cokkosn back? :eek:

Lappy is slick. Wear his suit well.
 
From Fitch, 5-8% of athletes use salbutamol (it’s probably higher since the paper was published), so of the 212,000 athletes across all sports who were tested in 2016, roughly 10-16,000 of them might be expected to be taking the drug. From the data that WADA has furnished, only about six AAFs occurred per year that did not involve TUEs, or less than one in a thousand. Only 1-2 per year were exonerated, or about 20% of the AAFs not resolved with a TUE. So about 80% of salbutamol AAFs by athletes without TUEs result in sanctions.

Also, I forgot to mention that Backer’s group is not the only one that has studied the effect of exercise and dehydration on salbutamol levels. Dickinson has published several studies in which subjects were given a dose of 800 or 1600 ug prior to running exercise (also discussed in this thread). Some of his studies allowed subjects to exercise at their own pace, while some involved a 5 km time trial, which would have been similar to Backer’s studies, except that running rather than cycling was involved. A total of about 40 subjects were given 800 ug; none had a level > 1000 ng/ml. These values, moreover, were uncorrected for USG, despite the dehydrating conditions (2% and 5% BM loss).

What is particularly interesting about these studies is that subjects were also given 1600 ug, as in Backer’s study, and as in the latter, a few samples exhibited very high urinary levels, 2000 – 3500 ng/ml. This suggests that the conditions were similar to Backer’s, yet when 800 ug was given under the same conditions, as I noted, no sample reached 1000, yet alone 1200 or 1400. And again, no correction for USG was made.

To repeat, these are not unpublished studies, and they should be just as relevant to Froome’s situation as Backer’s, published or presumably unpublished. So it’s incumbent on WADA not only to furnish these unpublished studies, but to indicate why they reach a different conclusion from Dickinson’s, if in fact they actually do.
 
Stop looking at simply urine Merckx, it really doesn't mean as much as you feel it should. The athlete explanation stage is clearly enough without having to go into pharmo. Pharmo is the end of the road, Froome escaped before confirmation not after. I'm not arguing he didn't challenge the regime itself, but he's allowed to do that, that can be part of the explanation for your high reading. WADA didn't have to believe him remember.

As they say expensive laywers can't defend wrong science. I honestly believe a 30 year old Salbutomol regime simply couldn't hold up to the science Froome provided and he proved it needs revising.

The rules and science those rules are founded on for Salbutomol have been changing continually since the 70s, Froome simply sparked another change in a long history of change. WADA don't term it the 'enigma' drug for nothing.
 
Re:

samhocking said:
Stop looking at simply urine Merckx, it really doesn't mean as much as you feel it should. The athlete explanation stage is clearly enough without having to go into pharmo. Pharmo is the end of the road, Froome escaped before confirmation not after. I'm not arguing he didn't challenge the regime itself, but he's allowed to do that, that can be part of the explanation for your high reading. WADA didn't have to believe him remember.

As they say expensive laywers can't defend wrong science. I honestly believe a 30 year old Salbutomol regime simply couldn't hold up to the science Froome provided and he proved it needs revising.

The rules and science those rules are founded on for Salbutomol have been changing continually since the 70s, Froome simply sparked another change in a long history of change. WADA don't term it the 'enigma' drug for nothing.

This is one of the most flagrantly ignorant statements I've ever seen posted in this forum. I really wish you would just post in the Froome thread, so there could be at least one thread in the Clinic that tries to discuss facts instead of just recycling the same opinions over and over.
 
Ken Fitch, Morten Hostrup, Daren Austin (Senior DIrector, Clinical Pharmacology at GlaxoSmithKline) have all written reports for Froome. They are claiming 10% false positives using Froomes own urine data, Daren Austin saying WADA saw 75 cases like Froomes in last 5 years etc etc. The existing regime has been broken using science Merckx, it's obviously flawed. Keep looking for explanation in WADA's rules and documents, but maybe Froome's team simply proved the regime never worked in the first place. Remember Sky take urine and store it from GC riders every morning. It doesn't take much to realise they've clearly worked with GlaxoSmithKline probably running virtual simulations uisng medical software WADA could only dream of having and relatively easily porved the false positive was just that. GlaxoSmithKline helped Froome for free apparently! Remember this is Sky PLC and all those business relations scratching each others backs. Why would GlaxoSmithKline run simulations for Froomes case for free huh?
 
Re:

samhocking said:
Ken Fitch, Morten Hostrup, Daren Austin (Senior DIrector, Clinical Pharmacology at GlaxoSmithKline) have all written reports for Froome. They are claiming 10% false positives using Froomes own urine data, Daren Austin saying WADA saw 75 cases like Froomes in last 5 years etc etc. The existing regime has been broken using science Merckx, it's obviously flawed. Keep looking for explanation in WADA's rules and documents, but maybe Froome's team simply proved the regime never worked in the first place. Remember Sky take urine and store it from GC riders every morning. It doesn't take much to realise they've clearly worked with GlaxoSmithKline probably running virtual simulations uisng medical software WADA could probably only dream of having and probably relatively easily porved the false positive was possible. GlaxoSmithKline helped Froome for free apparently! Remember this is Sky PLC and all those business relations scratching each others backs. Why would GlaxoSmithKline run simulations for Froomes case for free huh?

Link? Nothing in the literature remotely supports the notion of 10% false positives. WADA says there were 38 non-TUE salbutamol cases in the past five years, only eight of which were cleared, so clearly there weren't 75 cases like Froome's. The problems with simulations have already been shown with Heuberger's model.

If they want to convince people, they have to show the data. I'm open to having my mind changed, but I'm not open to people saying, trust us, we know the decision was fair. But it seems now they aren't going to release the data:

Lappartient said the full, 35-page final dossier file will not be publicly released.

“We went as far as possible as it was allowed,” Lappartient said. “The UCI is not allowed to release this document. It is up only to the rider. And some of this information [in the final report] can be used by people who might want to cheat.”

https://www.velonews.com/2018/07/tour-de-france/leaked-froomes-case_471571

Oh, give me a break. If Froome had been sanctioned, the report would have had to be released, and WADA’s own statistics show that’s the case in 80% of the salbutamol cases that don’t involve TUEs. So it’s all right to release those, but not the occasional one when the athlete is cleared? So Lappartient basically saying that if you wanted to cheat, you would imitate Froome as much as possible?
 
Friend at The times sent it to me. I don't know when it will be published. It might be now, but it's all behind a paywall obviously so not on google anyway.

In research provided to Froome, Dr Daren Austin, senior fellow and senior director of clinical pharmacology at Glaxosmithkline, said that he had run extensive virtual trials to establish the possibility of breaching Wada regulations while staying within the rules.

“We analysed Chris Froome’s detailed dosing history to calculate the likelihood of him generating at least one presumed [adverse analytical finding, or AAF] using various statistical methods,” he said. “Our calculations revealed a surprisingly high likelihood of a false positive.” He said that while the Wada threshold “has served its purpose in distinguishing once-a-day low doses” there was very little evidence for endurance athletes in multi-day events, especially those taking high doses over consecutive days.

Austin’s work was provided freely

I think the story is "10% of tests could be false positives" because that was how many false positives he identified in Froomes samples using WADA methods.
 
Re:

samhocking said:
Stop looking at simply urine Merckx, it really doesn't mean as much as you feel it should. The athlete explanation stage is clearly enough without having to go into pharmo. Pharmo is the end of the road, Froome escaped before confirmation not after. I'm not arguing he didn't challenge the regime itself, but he's allowed to do that, that can be part of the explanation for your high reading. WADA didn't have to believe him remember.

As they say expensive laywers can't defend wrong science. I honestly believe a 30 year old Salbutomol regime simply couldn't hold up to the science Froome provided and he proved it needs revising.

The rules and science those rules are founded on for Salbutomol have been changing continually since the 70s, Froome simply sparked another change in a long history of change. WADA don't term it the 'enigma' drug for nothing.

And it is all that you do. Honestly and blindly believe in everything Sky and Froome say or do. WAKE UP man!
 
Re: Re:

Merckx index said:
Link? Nothing in the literature remotely supports the notion of 10% false positives. WADA says there were 38 non-TUE salbutamol cases in the past five years, only eight of which were cleared, so clearly there weren't 75 cases like Froome's. The problems with simulations have already been shown with Heuberger's model.

Doesn't that depend on the model ? It looks like WADA took notice of it to some extent. The current rules are ultimately only based on a predictive model. They aren't an ultimate immutable fact, nothing in science is. You will argue it is based on evidence but now WADA have new evidence to suggest that their model is incorrect to some extent ?
 
One of the scientists behind Chris Froome’s defence has claimed that, under World Anti-Doping Agency rules, there is a 10 per cent chance of a false positive test for salbutamol if athletes take the maximum asthma medication allowed.

In research provided to Froome, Dr Daren Austin, senior fellow and senior director of clinical pharmacology at Glaxosmithkline, said that he had run extensive virtual trials to establish the possibility of breaching Wada regulations while staying within the rules.

“We analysed Chris Froome’s detailed dosing history to calculate the likelihood of him generating at least one presumed [adverse analytical finding, or AAF] using various statistical methods,” he said. “Our calculations revealed a surprisingly high likelihood of a false positive.” He said that while the Wada threshold “has served its purpose in distinguishing once-a-day low doses” there was very little evidence for endurance athletes in multi-day events, especially those taking high doses over consecutive days.

Austin’s work was provided freely, although David Lappartient, president of the UCI, cycling’s governing body, told the BBC yesterday that Team Sky’s wealth had been a factor in the outcome. “Froome had more financial support to find good experts to explain the situation,” Lappartient said, calling it “a reality of life unfortunately” that some riders lacked the same resources.

As The Times revealed, the UCI dropped proceedings against Froome on Monday after a nine-month investigation triggered by an AAF for having more than the allowed level of salbutamol in his urine at La Vuelta last year. Wada permits athletes to have up to a decision limit of 1,200 nanograms per millilitre of salbutamol in urine. Froome originally returned a reading of 2,000ng/ml, though this was reduced to 1,429ng/ml when taking dehydration into account.


Ken Fitch, the scientist responsible for the threshold and the recommended maximum dose of 1,600mg per 24 hours, told The Times that the rules were flawed because those levels were based on research done only on swimmers after one hour of exercise. He provided a statement for Froome, as did Morten Hostrup, a professor at the University of Copenhagen, who has carried out studies into salbutamol in sport. Hostrup claimed that there were about 75 similar AAFs investigated by Wada over the past five years, though it is not known how many athletes were sanctioned or could have had a therapeutic use exemption.

Writing in Le Monde, Froome said that he would welcome publication by Wada of “the scientific studies they relied on both to create the current testing regime and to exonerate me”.
 
Thanks for the link. It seems I can’t access without signing up for a subscription, so I’ll just go on this:

In research provided to Froome, Dr Daren Austin, senior fellow and senior director of clinical pharmacology at Glaxosmithkline, said that he had run extensive virtual trials to establish the possibility of breaching Wada regulations while staying within the rules.

“We analysed Chris Froome’s detailed dosing history to calculate the likelihood of him generating at least one presumed [adverse analytical finding, or AAF] using various statistical methods,” he said. “Our calculations revealed a surprisingly high likelihood of a false positive.” He said that while the Wada threshold “has served its purpose in distinguishing once-a-day low doses” there was very little evidence for endurance athletes in multi-day events, especially those taking high doses over consecutive days.

Austin’s work was provided freely

I’m not sure what he means by statistical methods, so any discussion at this point is quite speculative, but remember, all of this depends on knowing how much salbutamol Froome took every day, and when. It’s not like a lab study where you take a known dose all at one time, and provide a urine sample a fixed time later. If/when Froome took a low dose, say just two puffs, you would have to know if it was near the end of the stage, or much earlier, and if he urinated between then and giving the sample. With high doses, it’s more difficult, because he probably wouldn’t take all of it at once, but over a period of time. You could simulate all of that, but there would be considerable error in knowing the timing of the doses, and since he apparently didn’t take a high dose very often, there would be a very small sample size for those doses. And to repeat, because it really is critical: you probably have to trust Froome on all of the information. I doubt he had a way of verifying his doses independently, certainly not when he took them.

The simplest statistical method would just be to correlate dose with urine level, and see how much variability there was. From media reports, it seems there was a lot of it, such that a dose of a particular amount could result in a wide variation of urine levels. This is not new, that’s always been the case in published studies, but the published data don’t support anything at all like exceeding the limit 10% of the time. But errors in the amount and timing of the doses could probably have quite a big effect on how often the limit was exceeded. Basically, you're asked to believe the lab data are done under irrelevant conditions, rather than that errors or uncertainy in the model might be so large as to render the conclusions highly tentative.

Beyond that, they could have used various physiological parameters to model the route of salbutamol through the body, as Heuberger did. But here you get into more assumptions, and more potential errors. The bottom line is that a simulation like this is supposed to be validated first, before it’s used to predict anything. Heuberger’s model, for example, was not validated, and in fact there are a lot of data indicating it’s quite a bit off. I don’t know how you can validate a model like this, other than through data already in the literature. You probably can’t use other riders with AAFs for salbutamol, because there wouldn’t be enough samples; Froome’s case is unusual in that he was tested about every day for three weeks, that isn’t the case for most other riders. Petacchi, e.g., gave only five samples in that Giro. You could do something with those, but not as much.

I don’t know if they did this kind of modeling, but in the context of an anti-doping investigation, I don’t think it’s really science. You’re taking data given to you by someone who is supposed to be in a position where nothing he says can be trusted without independent verification, and fit it to a model. You should begin with data you know are correct—the various physiological parameters of a particular subject--build the model from that, then input the subject’s dose and urine levels obtained under controlled conditions, and see how well they fit. For Froome, they might have used data from a general population of subjects, except if part of the argument is that taking doses every day in a GT is different, some of those data wouldn’t be appropriate.

Finally, as I pointed out before, if Froome only exceeded the limit one time, you would not expect it to be by so much. That isn’t the way random distributions work. E.g., 8.0 earthquakes are far less common than 7.0, which are far less common than 6.0, and so on. If you set any arbitrary limit for an earthquake, the odds are much higher that the first event that exceeds that will be by a small margin, not a large one. It’s much the same with drug levels. It’s not impossible that this one time over the limit it would be far over, but it certainly adds more improbability.

I also think people should know Fitch has been pushing this salbutamol levels are unfair notion for a long time. That’s his right, and he’s a good researcher, but like so many other scientists, his default setting is that athletes are honest, and if they tell him they didn’t cheat, he believes them. He’s tried to provide empirical evidence for his claim. One was a Glaxo study I searched for for hours, it just isn’t there; he said 7/15 subjects exceeded the threshold after 1200 ug, which of course is more than allowed. The other was a nursing home study that had a lot of problems, as I discussed before, the worst one being there were no individual data, so no urine levels could be linked to specific amounts inhaled. The study as a whole showed a lot of variability, but it couldn’t be used to confirm that anyone taking 800 ug would go over the limit.

As for Hostrup, he’s a colleague/co-author of Backer, so what I said about her work applies as well to him. In particular, if he had unpublished data from WADA AAFs that seriously modified the conclusions of the work he has published, I'm sure he would take steps to publish them in some form, or at least announce that his previous work needed correction.
 
Well it clearly worked for Froome, whatever science those 3 handed WADA. I think Froome simply out-gunned science having the inventor of the regime on one side in Fitch knowing WADA rules and even the test inside out, passed that to Austin using Froomes Vuelta data and a few £million worth of free simulations off a supercomputer later and the blew up the existing rules if you ask me,
 
We didn't ask you Sam. It has been an unbelievable sequence of events. We were already skeptical about CF. We're more skeptical now.
1. Did wada take CF's word on what doses of Sal he took during each of the stages?
2. We need to see the data, the 'unpublished research' to see if it stands up or not.
3. It appears wada did not want a lengthy expensive legal case.
4. From what we know so far it's extremely likely he exceeded the maximum allowable dose and should have been punished.
 
Re: Re:

Merckx index said:
samhocking said:
Stop looking at simply urine Merckx, it really doesn't mean as much as you feel it should. The athlete explanation stage is clearly enough without having to go into pharmo. Pharmo is the end of the road, Froome escaped before confirmation not after. I'm not arguing he didn't challenge the regime itself, but he's allowed to do that, that can be part of the explanation for your high reading. WADA didn't have to believe him remember.

As they say expensive laywers can't defend wrong science. I honestly believe a 30 year old Salbutomol regime simply couldn't hold up to the science Froome provided and he proved it needs revising.

The rules and science those rules are founded on for Salbutomol have been changing continually since the 70s, Froome simply sparked another change in a long history of change. WADA don't term it the 'enigma' drug for nothing.

This is one of the most flagrantly ignorant statements I've ever seen posted in this forum. I really wish you would just post in the Froome thread, so there could be at least one thread in the Clinic that tries to discuss facts instead of just recycling the same opinions over and over.

I couldn’t decipher it upwards to the level of flagrant ignorance.
 
Jan 11, 2018
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GSK are notoriously corrupt and unscrupulous. I wouldn't be pushing anything they do as an example of virtuous, impartial involvement in the case.

Learning that they played a part makes me more suspicious of how Froome got off, not less.
 
The enigma of inhaled salbutamol and sport: unresolved after 45 years was one of the first things I read on Froome's 'cas'e that really convinced me WADA threshold is simply not fit for purpose.
I assume it formed the core of Fitch's statement/report for Froomes defence anyway given it was submitted Jan 2017 so long before Froome's AFF. I assume carries no bias anyway other than Fitch believes WADA rules are flawed for the last 11 years.
It's interesting that WADA's own Physician Guildelines for Asthma even reference this paper too.
https://www.wada-ama.org/sites/defa...pg_-_asthma_-_version_6.0_-_december_2017.pdf
 
Re:

topcat said:
We didn't ask you Sam. It has been an unbelievable sequence of events. We were already skeptical about CF. We're more skeptical now.
1. Did wada take CF's word on what doses of Sal he took during each of the stages?
2. We need to see the data, the 'unpublished research' to see if it stands up or not.
3. It appears wada did not want a lengthy expensive legal case.
4. From what we know so far it's extremely likely he exceeded the maximum allowable dose and should have been punished.

It sounds like glaxo's pharmocology director took Froomes inhalation record throughout La Vuelta, took his known urine specific gravity from each days WADA sample, ran it through various virtual simulations on what one can only imagine is bespoke glaxo supecomputer/simulations and proved statistically that Froomes own statement of how many puffs he said he took caused the AAF actually triggered up to 10% false positives during the period he was using maximum allowed dose.

There's clearly little research that simulates salbutomol use in a grand tour over 3 weeks with all the other physiological events that are going on in the body and with nutrition and whatever interaction there might have been with Froomes antibiotics at that time. It would seem simply, Fitch has proved why the urine test is flawed and WADA have publicly accepted that now and glaxo have demonstrated it flawed with Froomes own data and medical record.

Given WADA's recent comments they've finally accepted that a PCKS study is not practical in asserting that salbutamol levels in urine at above its permitted limit are consistent with inhalation at below its limit due to the testing's false premise, it would seem that what Fitch told them in 2007 is part of their decision making before Froome's case, for AAFs, even though the rules are not yet written that way explicitly. As Rabin says, Froomes case has happened before and they are well aware the PCKS is not workable for every case, but because it is Froome and because it was leaked, it now seems to be a unique case with Froome. The only thing unique, is Froome's was leaked and no other salbutomol cases like it have been, they all got resolved privately as it should and are not part of any AAF statistics that would have to be confirmed AAFs, not presumed ones.