Doping In Athletics

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So what do you need to do to get popped for an ABP violation?


Well, a 20.1 g/dL HGB / 0.83% RET / 148.30 OFF-SCORE some days before competition followed by an 18.7 g/dL HGB / 0.53% RET / 143.70 OFF-SCORE a few days after the competition seems to be sufficient to get you on the "maybe needs further testing" list.

No wonder he broke the half marathon world record in that competition.

Ok. I may be completely mistaken, but this is worrying from Kiptum's health point of view.. unknown mid to late 20s runners - especially Kenyans - appearing out of nowhere to dominate has been happening a lot the past decade. Maybe the theory is that you can (mostly) get away with high hemoglobin if you first raise it sky high before the first ever test and then keep it there in perpetuity, so that the blood values appear to be naturally high? That would not seem particularly healthy for the athlete, but when has that ever stopped unscrupulous doctors, trainers, and managers?
Ask Genevieve Jeanson's management team. They apparently had no boundaries and committed child abuse. Fortunately all of them are out and legendarily known in Canadian cycling. Hard to say when the kid's father is involved and there's money to be made.
 
So what do you need to do to get popped for an ABP violation?


Well, a 20.1 g/dL HGB / 0.83% RET / 148.30 OFF-SCORE some days before competition followed by an 18.7 g/dL HGB / 0.53% RET / 143.70 OFF-SCORE a few days after the competition seems to be sufficient to get you on the "maybe needs further testing" list.

No wonder he broke the half marathon world record in that competition.

Ok. I may be completely mistaken, but this is worrying from Kiptum's health point of view.. unknown mid to late 20s runners - especially Kenyans - appearing out of nowhere to dominate has been happening a lot the past decade. Maybe the theory is that you can (mostly) get away with high hemoglobin if you first raise it sky high before the first ever test and then keep it there in perpetuity, so that the blood values appear to be naturally high? That would not seem particularly healthy for the athlete, but when has that ever stopped unscrupulous doctors, trainers, and managers?
This is an interesting case with an altitude native and first ABP ban of a Kenyan athlete (The new WADA-approved "PLK" lab in Nairobi came on online in 2018 and started more thorough testing for the ABP-ADAMS system. There are also 3 more Kenyan runners provisional-suspended for ABP violations with Tribunal hearings still pending).

Kiptum's very first sample taken was already at the 99.99% specificity level (1 in 10,000 chance of being undoped) for extremely high Hgb (20.3) and Off-score (148.30) taken a few weeks before the HM world-record at the Valencia Half Marathon on 28 October 2018.

Sample #2, taken 3 days after Valencia, was also flagged for high Hgb (18.9) with low RET% (0.57) and a very high Off-score (143.70).

The expert panel said the extremely high Hgb was "massive erthrocythosis" consistent with a diagnosis of "polycythemia" or "congenital erthrocythosis." However, the panel noted those pathologies are associated with high RET% and not the low RET% observed in Kiptum's profile - so any pathological reasons for the anomalies was ruled out. The expert panel is said to also have ruled out the effects of altitude in contributing to the high HGB values (this was one of Kiptum's main defenses as an altitude native training at ~2300m).

The Tribunal noted that sample #1 (20.3/0.83/148.30) would be accepted as an ADRV. However, it is important to obtain more samples over a period time particularly in connection with the athlete's competition schedule to prove a doping scheme (sample #6 taken 2 two days after the Abu Dhabi marathon, 9 December 2018, was flagged for elevated Hgb (18.7) with very low RET% (0.48) and an extremely high Off-score of 145.40).

In reference to his very high Off-scores the expert panel noted:

"The probability of a male athlete recording an OFFscore of 145, even in the
worst case at altitude, is less than 1 in 10,000 (i.e., 99.99% specificity)"

The huge 61% drop in RET% (1.25/0.48) from Dec 2 to Dec 9 (2018) while maintaining elevated Hgb (18.4/18.7) is classic "off-phase" use of an ESA.

The ABP worked extremely well in detecting blood doping with an altitude native in a situation where anti-doping countermeasures were apparently used very effectively in avoiding a positive drug test for an ESA. Not only did sample #1 trigger a "red flag," but it independently could have been used for an ADRV.

Here's a paper co-authored by Dr. Schumacher, who's a member of the IAAF's & UCI's anti-doping expert panel, that goes into detail on the ABP's detection process:

 
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FWIW there is a nice thoughtful radio drama currently available on the BBC Sounds

A timely retelling of the Julian Mason scandal, one year on from the closure of Project Hermes, the controversial doping program that enabled Mason to run the 100m in under nine seconds. What drove the scientists at the heart of the project? What made the athletes sign up? And who was to blame when things went wrong?
 

hojoos

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Jul 18, 2019
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This is really, really bad news for the IAAF. Their horrible covering up of all the blood tests is corruption on an immense scale. They did this to protect sponsors and money I'd imagine. Disgusting. What are the bets that the UK top endurance athlete is Mo?
 
From that article: "he repeatedly denied to United States anti-doping investigators receiving injections of a controversial supplement before the 2014 London Marathon, only to later alter his account and say he had initially forgotten."

Ha! Mo: "Yes, I forgot because I got so many damn injections i couldn't keep straight what they were loading into my system, and they kinda all blur together." :);)
 
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I think his injection days started years before. I'd say around 2010/2011, when he turned into a world beater. Slow pace, fast pace, staccato pace, front of the pack, back of the pack, didn't matter, he started beating guys that he had very little success against before. I hope for the sake of anti-doping actually being pragmatic, consistent and without double standards that all the Salazar pupils (clients) are investigated and it gets to the bottom of everything.

Tired of people like Radcliffe, Coe, Tygart, etc going after other countries while being quiet on countries like the UK. Of course Radcliffe and Coe will be silent, they are Brits and they likely have a lot to hid themselves (past or present)...
 
Oct 7, 2019
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Steve Cram's reaction, "I'm just stunned," after losing his British 1500 metre record to Farah in July of 2013, speaks for itself.

Steve Cram 'stunned' after losing British 1500m record to Mo Farah.

https://www.telegraph.co.uk/sport/othersports/athletics/10192509/Steve-Cram-stunned-after-losing-British-1500m-record-to-Mo-Farah.html


Cram admitted he was shocked that a long-distance runner who only dabbled with the metric mile should have leapt above himself, Sebastian Coe and Steve Ovett on the all-time UK list. “I’m just stunned,” Cram said.

"it’s been a long time now and I wasn’t expecting it to go in that fashion with a distance runner."

"It makes us look a bit ordinary, doesn’t it? Maybe we should have been a bit better."

"I guess if someone breaks your record you would want it to be a double Olympic champion, but you don’t expect a 10,000 metre runner to break your 1500 metre record."
 
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