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Wednesday, November 5, 2025

UCI Bans Repeated Carbon Monoxide Inhalation, CO Hb Mass Testing OK As soon as or Twice



In 2024, the most important information on the earth of biking doping appeared like an April Idiot’s joke. Professional riders have been apparently inhaling carbon monoxide to spice up efficiency. That sounds preposterous till you notice that carbon monoxide rebreathing can be utilized as a measurement device to measure a rider’s hemoglobin (Hb) mass and blood quantity.

However as first reported by The Escape Collective, it’s doable to misuse this take a look at gear to go from merely testing your Hb mass to enhancing it with extended inhalation. TrainingPeaks has an in-depth article on the science behind CO Hb testing right here, however the in need of it goes like this:

“First, an athlete sometimes does a mixture of breath and blood assessments to measure their baseline carbon monoxide (CO) ranges earlier than the precise take a look at is carried out.

The take a look at itself entails the athlete inhaling a small quantity of carbon monoxide diluted with oxygen. This combination is inhaled and exhaled by means of a closed circuit for 2 minutes. The carbon monoxide the athlete inhales then binds to the hemoglobin in crimson blood cells to type carboxyhemoglobin. 

After two minutes, the quantity of carboxyhemoglobin that continues to be within the breath and blood is re-measured and in comparison with the baseline ranges measured at the beginning of the take a look at. The outcomes are then used to calculate the athlete’s complete hemoglobin mass.”

That testing can then be used to evaluate an athlete’s altitude adaptation, however it may be abused if an athlete have been to “regularly inhale the tracer to simulate hypoxia and immediate a rise in hemoglobin and different efficiency metrics.”

That’s the place the UCI is trying to attract the road with their newest ban. Calling it “a ban on repeated inhalation of carbon monoxide,” the UCI will nonetheless allow one CO inhalation to measure complete Hb mass. Or two, apparently, stating “The inhalation of CO will stay authorised inside a medical facility and below the duty of a medical skilled skilled within the manipulation of this gasoline for medical causes and in keeping with the next restrictions: just one CO inhalation to measure complete Hb mass will likely be permitted. A second CO inhalation will solely be authorised two weeks after the preliminary Hb measurement.”

For extra particulars, try the total press launch under which additionally features a modification for UCI WorldTeams to stay eligible.

From UCI:

The Administration Committee of the Union Cycliste Internationale (UCI) met in Arras (France) on 31 January and 1st February, alongside the 2025 UCI Cyclo-cross World Championships, that are being held in Liévin from 31 January to 2 February.

To guard the well being of riders, the UCI Administration Committee permitted a ban on the repeated inhalation of carbon monoxide (CO). The ban will come into drive on 10 February 2025.

As a reminder, CO is usually utilized in sports activities drugs to measure complete haemoglobin (Hb) mass and blood quantity, particularly to look at the consequences of endurance coaching and altitude publicity on oxygen carrying capability. Nevertheless, its repeated inhalation can lead to acute and continual well being issues, for instance complications, lethargy, nausea, dizziness, and confusion. Such signs can worsen at any time and turn into issues with coronary heart rhythm, seizures, paralysis, and lack of consciousness.

The brand new regulation forbids the possession, exterior a medical facility, of commercially obtainable CO re-breathing methods linked to oxygen and CO cylinders. This ban applies to all licence-holders, groups and/or our bodies topic to the UCI Laws and to anybody else who may possess such gear on behalf of riders or groups.

The inhalation of CO will stay authorised inside a medical facility and below the duty of a medical skilled skilled within the manipulation of this gasoline for medical causes and in keeping with the next restrictions: just one CO inhalation to measure complete Hb mass will likely be permitted. A second CO inhalation will solely be authorised two weeks after the preliminary Hb measurement. 

For riders in UCI WorldTeams, UCI Ladies’s WorldTeams and UCI ProTeams, any CO inhalation for the aim of figuring out complete Hb mass should be recorded within the medical file established for every athlete, in compliance with Articles 13.3.020 to 13.3.026 of the UCI Medical Guidelines. 

The UCI’s ban is unbiased of the World Anti-Doping Code and the UCI Anti-doping Laws, nevertheless the UCI has formally requested the World Anti-Doping Company (WADA) to take place on the repeated use of CO out and in of competitors.

With the intention of making certain the participation of the world’s finest groups in all essentially the most prestigious street occasions, the UCI Administration Committee permitted a modification to the participation guidelines for the UCI WorldTour and UCI Ladies’s WorldTourfrom 2026.

Underneath this new rule, it is going to be obligatory for all UCI WorldTeams to compete within the three Grand Excursions (Giro d’Italia, Tour de France and La Vuelta Ciclista a España) and the 5 Monuments (Milano-Sanremo, Ronde van Vlaanderen, Paris-Roubaix, Liège-Bastogne-Liège, and Il Lombardia). From the remaining occasions on the UCI WorldTour calendar, UCI WorldTeams will be capable of select one occasion during which they don’t compete. Not more than 4 UCI WorldTeams could also be absent from the identical occasion, and groups is not going to be permitted to be absent from the identical occasion greater than as soon as in the course of the three-year registration cycle (2026-2028). Any spot at a UCI WorldTour occasion left vacant by one of many 18 UCI WorldTeams will likely be provided by invitation to a UCI ProTeam.

The identical participation guidelines will apply to UCI Ladies’s WorldTeams within the UCI Ladies’s WorldTour, however just for the next occasions: the Vuelta España Femenina by Carrefour.es, Giro d’Italia Ladies and Tour de France Femmes avec Zwift. 

Relating to different disciplines, the UCI Administration Committee permitted the award of the 2025 UCI Indoor Biking World Championships to Göppingen, Germany, from 7 to 9 Novembers 2025.

Members of the UCI Administration Committee additionally permitted the next calendars:

  • 2025-2026 UCI Cyclo-cross Worldwide Calendar, together with the 2025-2026 UCI Cyclo-cross World Cup
  • 2025 Hero UCI Cross-country Marathon World Cup, a brand new unbiased sequence for the mountain bike marathon speciality which can now not be a part of the WHOOP UCI Mountain Bike World Sequence;
  • 2025 UCI Mountain Bike Eliminator World Cup powered by citymountainbike.com.

These calendars will likely be obtainable on the devoted part of the UCI web site from 3 February.

Lastly, the Administration Committee expressed its appreciation of the superb work carried out in all areas of the world by biking’s 5 Continental Confederations, which maintain their elective Congresses this yr. Congratulations went to Tony Mitchell who, following the Congress of the Oceania Biking Confederation in January, embarks on one other four-year time period as its President. The Biking Confederations of Africa, America, Asia, and Europe will elect their Presidents and Administration Committee members at their respective Congresses going down between now and the start of March.

UCI President David Lappartient stated: “The UCI takes a daring and mandatory stance by banning the repeated use of carbon monoxide inhalation on medical grounds. Our precedence is to guard the well being and security of our athletes and at present’s determination is one other important step on this route.

“By modifying the participation guidelines for the UCI WorldTour and UCI Ladies’s WorldTour, organisers, riders and followers can make certain that all occasions in these two main sequence for males’s and girls’s skilled street biking will characteristic one of the best groups on the earth.

“Lastly, I want to sincerely thank and congratulate the 5 Continental Confederations that work tirelessly to progress our sport in all corners of the world. This yr marks the beginning of a brand new four-year time period for the Path of every Confederation, and I stay up for persevering with our wonderful and shut collaboration.”

The subsequent assembly of the UCI Administration Committee will happen in Arzon, France, from 10 to 11 June 2025.

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