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It's an open secret that the diagnosis is a sham because it's performance-enhancing.


That's a possibility - but the pubmed piece I linked also includes this quote:

> Athletes with asthma/AHR have consistently outperformed their peers, which research suggests is not due to their treatment enhancing sports performance.

Anecdotally, when I lived in Chicago and rode outside in cold air I had asthma like symptoms (and I didn't ride nearly as frequently as olympians do) - which lines up with this quote, also from my original link:

> Inspiring polluted or cold air is considered a significant aetiological factor in some but not all sports.

I think it's possible that it's not just a sham.




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