Yes, the worms eat red cells, but not enough to affect HT. But what the infection can do to a significant extent (through the release of certain antigens by the eggs) is inactivate hemoglobin. So it can impact aerobic performance, but in addition, since Hb is affected but HT isn’t, it should definitely affect the passport, which looks at Hb/HT. Basically, if Froome’s performance was affected by the infection, the passport should have shown abnormalities.
Regarding the number of treatments, I discussed this in another thread last year. With this new forum format, I don’t even know how to do searches any more, and can’t dig up those posts, but I quoted a specialist in I think London who said it would be extremely unusual to need more than two treatments. And Froome’s own doctor was reduced to saying that one of the treatments—by himself!—must have been done very poorly.
KB, there are other studies showing that two treatments with prazi eradicate all the worms in a very high % of patients. In fact, a review article linked to the Senegal study that you cited to says that most studies find > 70% cure rates after a single treatment (and > 90% after two). They concluded that the failure to get a higher cure rate was due not only to heavy worm burden, which is not uncommon—this is why two treatments are generally recommended—but because the individuals had more than one pre-existing infection. I.e., when the subjects were diagnosed at the beginning of the study, there were worms in the body which were not detected because they had not matured yet.
So at the very least, we can say that a low cure rate like this is much more likely to occur only with individuals who have been infected multiple times. Also, keep in mind that even patients who are not cured have their worm burden significantly reduced, which can make a big difference. As I noted above, the biggest problem from an endurance athlete’s point of view is the eggs, which are constantly being excreted from the body. If the worm burden is lowered enough, the eggs won’t accumulate, and symptoms resulting from the eggs will gradually subside. The Senegal study reported that the intensity of the infection was reduced by 70% after one treatment, and by nearly 90% after a second treatment.