A little preparation can go a long way. In the weeks leading up to the trip, we recommend:

• Hydrating well before travel and during your flight
• Adding incline walking or light cardio to your routine to support stamina
• Prioritizing sleep in the days before departure
• Limiting alcohol the day before and the first day or two at altitude
• Packing electrolytes, especially if you tend to get dehydrated while traveling
• Bringing any usual medications, supplements, or remedies you rely on while traveling

Some guests may also like to prepare with gentle holistic supports such as chlorophyll water, minerals/electrolytes, ginger chews, peppermint tea, or other remedies that already feel good in their body. Please note that holistic options can be supportive for overall wellness, but they are not a guaranteed prevention or treatment for altitude sickness.

If you are over 60, pregnant, have a history of altitude sickness, or have any heart, lung, blood pressure, sleep apnea, anemia, or other significant medical conditions, we recommend checking in with your physician before travel.

You may also want to ask your doctor whether a prescription medication such as acetazolamide / Diamox is appropriate for you. The CDC notes that acetazolamide can be used in certain travelers to help prevent or treat altitude illness, but it should be discussed with a medical provider first.

Once you arrive in Cusco, our transportation will bring guests directly to the Sacred Valley. Even though the scenery is exciting, the first day is the time to move slowly and let your body adjust. We recommend:

• Take it easy on arrival day
• Walk slowly and avoid rushing
• Eat lighter meals at first
• Sip water throughout the day
• Avoid heavy alcohol the first 24–48 hours
• Rest if you feel tired
• Let someone know if you are not feeling well

Mild symptoms can include headache, fatigue, nausea, dizziness, shortness of breath with exertion, or difficulty sleeping. These symptoms are common at high altitude and often improve with rest, hydration, and time.

In Peru, you may see coca tea or muña tea offered as traditional local remedies for altitude adjustment. Many travelers find them comforting. However, coca tea may not be appropriate for everyone and may affect drug testing, so use your discretion and speak with your doctor if this is a concern.

Hotels in Cusco and the Sacred Valley are very accustomed to guests adjusting to altitude. Many hotels have oxygen available by request or can help coordinate medical support if needed, but we recommend confirming directly with your hotel.