Before the 2016 Olympics had聽even begun聽last Friday, they were beset by doping controversies:聽virtually every Russian athlete appeared to be聽on some sort of performance enhancing drug听补苍诲听迟丑别 as FIFA.听Not even a week into the Games, two athletes聽have already been . Some Olympics athletes, it seems, will take just about anything that will afford them a small advantage. While they aren't banned, here's a聽handful of benign, bizarre, and sinister performance enhancing聽remedies聽that have been used by everyone from Olympic聽tennis players to sprinters to skeleton racers.听
Viagra
础听聽made waves when it appeared to show that mountaineers who took聽sildenafil聽citrate, the active ingredient in Viagra, improved arterial oxygen saturation and boosted maximum workload by an average of 22 percent. In other words, it increases your maximum power output. Then, a聽聽on cyclists found that the supplement聽improved performance聽by an average of 15鈥攁nd up to 45鈥攑ercent when riding at a simulated altitude of 12,700 feet. And yet, it鈥檚 still not banned. That鈥檚 because the effect is not universal and appears to be isolated to high altitudes. So,鈥淰iagra doping,鈥 to the extent that it鈥檚 happened, has been mostly in sports like mountaineering (not governed by WADA). But research is ongoing, including聽聽to determine if Viagra had similar potential at more moderate altitudes. If so, WADA may take action.
Nefariousness index (Scale 1-10):聽Five. No, it鈥檚 not banned, and its effectiveness appears to vary greatly by individual, but that little blue pill might be off the menu for athletes in the near future.
Thyroid medication聽
The cynical view is that athletes are an awful sickly lot, at least judged by the rates of hypothyroidism diagnoses. Hypothyroidism,聽, can cause fatigue, and is treated by drugs like聽Cytomel聽and聽Synthroid, brand names for聽T3 and T4 thyroid hormones. The problem: T3 and T4 have a long association with doping.听聽for聽BALCO聽athletes, and Floyd Landis used thyroid medication as well. The mechanism of action is unclear, but because they boost metabolic rate, they鈥檙e thought to add a kind of explosive quickness that鈥檚 valuable to, say, track sprinters. Last year, both聽USAD础听and UK Anti-Doping requested that thyroid hormones be banned;聽.听
Nefariousness index:聽Eight. Not banned, but clearly associated with doping regimens and聽sketchy聽coaches and trainers, often under the excuse of treating hypothyroidism in young and seemingly healthy elite athletes.
Pickle juice
We know: this almost seems like a . But sporadic reports of pickle juice鈥檚 anti-cramping effects date back more than a decade. In 2010, a Brigham Young University researcher named Kevin Miller created a stir with showing that ingesting pickle juice, even in small doses, could stop cramps within seconds. Subsequent studies have confirmed the phenomenon, adding the caveats that it doesn鈥檛 work universally and it may not have a protective effect; rather, it鈥檚 an effective response to acute cramps in the moment. Two researchers believe they know the cause: the acidic vinegar, pickle juice鈥檚 principal ingredient, stimulates the nervous system in a way that short-circuits the receptor cells responsible for cramps.
Nefariousness Index: One. Although many a race has been lost due to cramps, it鈥檚 pretty hard to imagine a WADA ban. I mean, pickles.
Cordyceps
These , which grow in the larvae of certain Chinese moths, are claimed to do everything from 鈥攖he cellular fuel for explosive anaerobic efforts like sprinting鈥攖o and even . With all that, you鈥檇 think that they鈥檇 be banned or taken by every athlete in Rio. But they鈥檙e not banned, possibly because the claims aren鈥檛 backed by much hard evidence. Take O2 availability, for example: some effects have been seen in elderly subjects, but a on trained cyclists found no statistical effect.
Nefariousness Index: Two. Not likely to be banned, but at least claimed to be more broadly 鈥減erformance enhancing鈥 than a cramp-stopper.
Nitric oxide聽
Nitric oxide, a聽naturally occurring byproduct of exercise,聽is a well-known vasodilator. What鈥檚 that mean? Theoretically, it , which equals more endurance. One way to increase nitric oxide is聽to exercise鈥攐r drink a ton of beet juice, which is rich in nitrates that convert to nitric oxide. Another is to take nitric oxide precursor supplements like L-Arginine. A few years ago, a company called MuscleMeds produced another (since discontinued) supplement that claimed to deliver 鈥渞eal鈥 nitric oxide to the cardiovascular system. But showed no real effect, and draw similar conclusions.
Nefariousness index: Three. The supplements seems to be inconsistent at best and ineffective at worst.听
Platelet-rich plasma聽
聽is a technique where an athlete鈥檚 blood is withdrawn and then spun in a centrifuge to separate platelets鈥攚hich are partly made up of various hormonal growth factors鈥攆rom whole blood. The platelets are then re-injected at the site of an injury to speed healing; it鈥檚 a technique often used to treat chronic tendon injuries, for example. (Rafael聽Nadal聽to recover from a knee injury in 2013.)聽Researchers aren鈥檛 totally clear on how,聽why,聽or if it is effective. Because it involves withdrawing and聽reinjecting聽components of one鈥檚 own blood, you might initially think PRP is a clear violation of WADA鈥檚聽. And in a sport like pro cycling, which has聽, it聽is聽against the rules. But it is not prohibited聽for Olympic athletes鈥攊t was removed from WADA's banned list in 2011.
Nefariousness index:聽Six. Although rich in the naturally occurring forms of banned hormones like聽IGF-1, platelets themselves appear to have mostly therapeutic potential, rather than being directly performance enhancing. But it does seem counter to WADA鈥檚 ban on blood manipulation, and there鈥檚 a slippery-slope argument as well.
Finasteride
What could possibly be dubious聽about a full head of hair?聽Finasteride is the generic name for the active ingredient in Propecia, a drug used to treat male pattern hair loss.听But for several years in the mid-2000s, it was banned because, as a 5-alpha-reductase inhibitor, it鈥檚 a possible masking agent for certain steroids. American skeleton racer Zach Lund was one of the first cases; a Propecia user since 1999, he tested positive in 2006聽and was banned for a year, despite clear mitigating circumstances (he had a doctor鈥檚 prescription and told the USA Bobsled and Skeleton Federation well ahead of time that he was taking it). The normally strict U.S. Anti-Doping Agency pressed for a warning rather than a ban, but聽, where he was a likely medal contender. To make matters worse, WADA removed finasteride from the banned list starting in 2009, saying that testing had gotten good enough to beat the masking agent.听
Nefariousness index: Four. While it鈥檚 currently still a legal substance, athletes might want to consider racing bald鈥攖here鈥檚 an investigating whether finasteride might, after all, be an effective masking agent.
Telmisartan
Telmisartan, an oral anti-hypertension medication, keeps blood vessels from constricting, which could lead to better oxygen uptake in endurance sports. It may also have metabolic modulator properties, like the ability to create more mitochondrial density (the powerhouses of cellular energy production) or change skeletal muscle fiber type (say, from slow- to fast-twitch). It seems that Telmisartan could become the 2017 version of Meldonium, the now-banned drug that brought down scores of Russian athletes this year when it was shifted from the monitoring program to the prohibited list. This is year two on the watch list for Telmisartan鈥攊t could be banned in the very near future.
Nefariousness index: Nine. The mechanism of action and actual effect are unclear, but there鈥檚 a lot of buzz about similar effects to banned drugs like AICAR and GW1516. Don鈥檛 be surprised if it makes the shift from shady to outright outlawed next year.