Avoiding Altitude Woes: What To Bring On Your Next Ski Trip

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"Predisposition to AMS is subjective. Age, physiology, genetics, and physical fitness may or may not play a role."

Afraid not; it's almost entirely genetic, although influenced by age. Physical fitness plays no role whatever--although you'll be able to carry-on a lot better while bilious a if you are fit.

Staging is the most effective way to acclimatize, following the maxim: "Climb high, sleep low." Exercise at some higher elevation, then sleep at a lower one. Climb to 7500-ft and then descend to sleep at 5000-ft. Climb to 9000-ft and sleep at 7500-ft. Climb to 11,000-feet and sleep at 10,000-ft, etc.

Diamox works moderately well in many people but also causes tingling of the extremities. Ambien is a good sleep aid.

You will always be able to tell when to got to the next stage when you suddenly notice that you feel fine at wherever you are.

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