Martin318is said:For me its very simple:
If you are legitimately awarded a TUE for a medication that brings things like Anemia UP to a normal level then there is zero reason to feel any moral issues whatsoever. In effect, you are not performance enhancing by taking treatment, you are performance normalizing.
I don't know of anyone that I race with that would complain if a competitor with a health issue like that was receiving treatment for it (whether that person then smashed them in races or not). I think you are racing with a leg tied behind your back now - if you are strong now then great but that shouldn't stop you from allowing the other leg to be untied.
Except that TS legitimately asked about the difference between rec/racing and other levels. I would still stand on the opinion that I would not have a problem racing with him as an amateur. If he needed the meds to perform as a pro that would seem to be an unhealthy choice. It's not the equivalent of a surgeon needing glasses to do his job as the meds themselves contain risks. TS sounds like he has the ethical makeup to know the correct thing to do.