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You may be wondering how studies of cycling time trials at high altitude can be applied to football players at sea level. Kevin Jacobs, one of the researchers from Miami, admits that these types of studies haven‚t really been done using football players. However, high altitude conditions are where the effects of sildenafil are most likely to be apparent. In addition, middle-distance cycling time trials were used because this kind of submaximal exercise performance is more dependent on oxygen delivery than shorter bursts of high intensity exercise, such as seen in football. If cyclists performing middle distance time trials at high altitude don‚t even see reliable performance enhancements from sildenafil, it is very unlikely that football players who typically play at lower altitudes would see any benefit from sildenafil.

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