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The Athens lab had frozen the backup, which made it impossible to repeat the test.
The Russian Olympic Committee appealed to the International Court of Arbitration for Sport to give Hamilton's medal to Russian silver medalist Viatcheslav Ekimov.
In April 2004 his blood was found to have a high ratio of hemoglobin to reticulocytes (young red blood cells), indicative of EPO or blood doping.
His score was 132.9; a clean athlete would score 90. This sample also showed someone else's blood was in his bloodstream.
He finished the 2003 Tour de France 4th overall and returned home nationally recognized.
In 2004, Hamilton left Team CSC and joined the Phonak Hearing Systems.
After graduating in 1990, he attended the University of Colorado at Boulder as a ski racer and received a BA in economics in 1994 (although it has been alleged that he did not graduate.)) A back injury (two broken vertebrae while mountain bike training on ski jump) at the University of Colorado developmental ski team in September 1991 ended his skiing and he switched to cycling.
He turned pro in 1995 for the Montgomery Bell Cycling team which later became the U. Postal Service cycling team and raced for them in the 1997, 1998, 1999, 20 Tour de France. Hamilton fractured a shoulder in a crash in the 2002 Giro d'Italia but still managed to win stage 14 and finish second overall, under 2 minutes behind race winner Paolo Savoldelli.
Hamilton protected Lance Armstrong in the mountains, and was on Armstrong's first three Tour de France winning Postal squads and quickly grew to stardom. Later that year, he participated in the 2002 Tour de France, riding in support of Carlos Sastre and finished 15th overall.
However, in the 2004 Tour de France he dropped out on stage 13, after back pain mostly due to a crash on stage 6.
His former wife, Haven Hamilton and golden retriever Tugboat became recognizable at the races, appearing in photos and interviews.
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That medal was placed in doubt on September 20, 2004, after he failed a test for blood doping (receiving blood transfusions to boost performance) at the Olympics.