Critics argue that cannabis does not meet the criterion of being performance-enhancing. Unlike traditional doping agents such as anabolic steroids or stimulants, cannabis is not believed to directly enhance athletic performance in terms of strength, speed, or endurance. Instead, its effects are often associated with relaxation, altered perception, and decreased coordination, which could potentially impair performance in certain sports.
While some athletes may use cannabis for its purported calming effects or to alleviate anxiety or pain, the evidence supporting its performance-enhancing effects is limited and anecdotal, leading to questions about whether it meets the threshold for inclusion on the prohibited list based on this criterion alone.