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Regarding drugs, yes it´s most likely still happening, but nowhere near the levels it used to be. Riders are tested a lot and have to provide year-round whereabouts for random testing. They also have a frequently updated blood passport to detect sudden changes in values caused by PEDs. It can never be fully waterproof, but at least serious efforts are made. |
If I remember correctly, these rules were changed after the Armstrong scandal where he would be scheduled for testing, he would say he was at his house in Texas. The testing folks would show up and he just wouldn't answer the door and wait until they left so they couldn't test him. It was one of the ways he was able to dope on a set schedule, all the while being able to maintain he was being tested more than any other athlete - when in reality, he was just avoiding being tested.
It seems like a lot has changed since his scandal and several others that followed and they've really clamped down on what you're saying, changes in blood values and getting suspended if you cannot be reached for testing.