Timing is key, says nutrition and training expert Victor Conte: He says athletes generally use performance-enhancers months before competition. "These are training drugs," says Conte, who in 2005 pleaded guilty to conspiracy to distribute steroids as part of the BALCO scandal. "You use them in the offseason, to train better. In-competition, tests are worthless. These athletes aren't dumb."
The tests themselves may also make errors. A recent study by scientists at the Copenhagen Muscle Research Center found that the test for synthetic erythropoietin has a high false negative rate; in other words, it lets lots of cheaters through. Known as EPO, erythropoietin is a go-to enhancer for endurance athletes such as long-distance runners and swimmers. It increases red blood cells, making more oxygen available to muscles.
Another loophole: Although WADA and its allies test for many steroids such as nandrolone and stanozolol, experts say it is not difficult for a reasonably competent chemist to develop slightly altered "designer" versions. Such compounds have the same effects as the recognized drugs - increased strength and muscle growth - but are invisible to the tests.
