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America’s Himalayan specialists. Baltimore-based. Kathmandu-owned. Since 1992.

33 Years of Guiding in the Himalayas

Guided tours across the Himalayas, Africa, and South America, operated by our own team and trusted partners, booked through our US office in Baltimore.

No outsourcing No middleman Competitive price

What is the first symptom of altitude sickness on the trek?

What is the first symptom of altitude sickness on the trek?

Generally, the first symptoms begin to show 12-24 hours after arriving at high altitudes. Different levels of altitude sickness have different symptoms. Symptoms of mild, short-term altitude sickness are dizziness, fatigue, loss of appetite, sleep problems, loss of energy, and shortness of breath.

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