Sure, if Pog was one or two blood bags more prepared in the longer climb stages than on San Luca, then of course the maximum oxygen uptake available to him is higher. And had he on those days gone for it during a 4-5min effort, the output might have been higher than, say, San Luca. But only if fatigue doesn't prevent this (I feel stupid writing that, as if he fatigues).
Agreed about "the ability to operate at a super-high percentage of VO2max for a long time" being key. When one thinks about it, that is the definition of endurance right there, and increasing the power and the duration at the higher power is the end goal of all performance oriented endurance training. It never gets easier, you just go faster, as it were.
There is an old but very worthwhile paper on this topic by Coyle (of clinic fame for his work on Armstrong) and coauthors. No doping angle, there, just well done basic exercise physiology that points to very basic and simple things being important.
Fourteen competitive cyclists who possessed a similar maximum O2 consumption (VO2 max; range, 4.6-5.0 l/min) were compared regarding blood lactate responses, glycogen usage, and endurance during submaximal exercise. Seven subjects reached their blood lactate threshold (LT) during exercise of a...
pubmed.ncbi.nlm.nih.gov