El Guerrouj had two pacers: https://www.youtube.com/watch?v=XvCsj7eJKKA
In fact, looking at this race, Tanui (the second pacer) actually stays on the track for longer than today's pacers did.
https://www.wada-ama.org/en/what-we-do/world-anti-doping-cod...
The gels are much the same. Getting the same nutiritional ratios used to require carefully controlled eating and certainly weighed vastly more than the gels adding both weight and complexity and likely being less performant.
Most(?) sports handle this by maintaining multiple leaderboards. The sub two hour 26.2 mile run was broken years ago, but the sub 2 marathon race was only recently completed, for instance. The difference being that the original was done much like this one in that it was paced, on a track, etc while the later was run in typical marathon conditions with other racers, variable winds etc.
Sleep is the biggest performance enhancer. They should ban that.
Dr Kyle works out the precise dietary requirements to support my training while my performance chef Jameel Austin does the shopping and makes the meals to ensure I implement that. Everything I put into my body is cooked by Jameel. He also works in a restaurant as a pastry chef – that’s not a food on my menu – but he comes to our house every Monday and Thursday to prepare the meals.
We also do an eight-day coffee fast before races. A coffee about three hours before the race should then have more impact. Regular blood-work informs whether any supplements are recommended by Dr Kyle. Supplements that I might have at different times of the year include vitamin D, omega-3 or beta-alanine.
Like most runners now in almost every distance and endurance sport, I will also take sodium bicarbonate before a race, but I never bother in training. Sodium bicarbonate is essentially baking soda and has long been known to buffer hydrogen ions and thus delay muscle fatigue. Its usage, however, has increased over recent years after it was produced in a gel that helps to bypass the gut and thus reduce the risk of gastro issues.