Recombinant Erythropoietin (RH EPO) Erythropoietin (EPO) Found naturally in the body Secreted by the kidneys Regulates/Increases red blood cell production Definition: Naturally occurring hormone which increases the body’s ability to manufacture red blood cells Recombinant Erythropoietin (Rh EPO) An artificial synthetic copy of EPO It is injected and produces the same results as blood doping Increases red blood cell production/haemoglobin levels Raises O2 transport Testing EPO was believed to be widely used in the 90s A test was developed in 2000, which could distinguish pharmaceutical EPO from natural EPO Testing Procedures can now detect high levels of red blood cells/haemoglobin Intravenous fluids are used to dilate blood prior to testing WADA added these intravenous fluids to the banned list Testing difficulties Some athletes have naturally high concentrations Unless all athletes’ normative values are tested early in their careers, and used as baseline values to measure against. CAUGHT Evidence All cyclists are drugs cheats