The document also alleges that Salazar went out of his way to prescribe a nasal spray called calcitonin on his personal theory that it would strengthen nasal bone strength and prevent stress fractures. In actuality, it was shown later to increase cancer risk and the Nike Oregon Project team told its athletes to stop using the spray in November 2012. Ritzenhein responded with incredulity, asking, “Is this some kind of joke? I have been taking this for the last four years!” Despite the warnings, records show that Brown prescribed the spray to Galen Rupp in December 2012. Additionally, Mo Farah, perhaps the world’s greatest distance runner, was told to stop taking it after being diagnosed with hypercalciuria, but the alleged secrecy and overmedication of Nike Oregon Project athletes under Salazar kept him on calcitonin well after he was told to stop.
Typically, any athlete who tests positive for banned substances after having served a previous ban receives a lifetime ban from the sport of athletics. Many high-profile sportspeople to receive doping bans have come from the sport of athletics, with significant past cases concerning Ben Johnson , Marion Jones and Tim Montgomery . Furthermore, a number of athletes who underwent state-sponsored doping programmes in East Germany between the 1960s and 1980s were competitors in athletics, but the quality of the international anti-doping work was so poor that only one East German athlete ever tested positive.  Following allegations of state-sponsored doping in Russia , the IAAF suspended the country's athletes from competition, including the 2016 Summer Olympics.