Cycling is the purest aerobic sport most people will ever do: hours at a sustained power output, limited by oxygen delivery, mitochondrial capacity and fuelling. Multi-day races add a second limiter — the ability to recover overnight and go again, which is where sleep and gut tolerance of race nutrition become performance variables.
Injuries are a different shape from running. Overuse problems (knee pain from bike fit, lower-back and neck strain from long hours in position) are common; crashes cause clavicle fractures, road rash and, in mountain biking, head injuries despite helmets.
South Africa hosts the Cape Town Cycle Tour, the Absa Cape Epic and a big gravel and MTB scene. Cycling’s history — EPO, the biological passport, the lessons of the 1990s and 2000s — makes it the sport where athletes most need a clear line on what is banned. Every compound below is listed with its 2026 WADA status.
Mapped to the evidence radar
Each demand below is mapped to one of the ten fixed research areas on our evidence radar. The heavier the weight, the more that area counts when compounds are ranked for Cycling: Longevity & Energy ×3, Recovery & Repair ×2, Sleep & Recovery Rhythm ×2, Muscle & Body Composition ×1, Gut & Immune ×1.
- Aerobic and mitochondrial power · Longevity & Energy
MOTS-c (S4.4.1-prohibited), NAD+ and related mitochondrial research sit here. Evidence is mostly mouse work plus human biomarker studies. - Overuse and crash injuries · Recovery & Repair
Knee, back and neck overuse plus fractures and skin abrasions from crashes. Repair research here is preclinical. - Stage-race recovery · Sleep & Recovery Rhythm
Recovering overnight between stages. Sleep evidence in the catalogue is Russian clinical pineal-peptide work. - Fuelling tolerance · Gut & Immune
High-carbohydrate race fuelling stresses the gut. Gut research here is mostly animal models.