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A Multifactorial Case of Acute Mountain Sickness, Carbohydrate Depletion, and Dehydration
After a recent strenuous approach to an alpine, headache, nausea, fatigue, and dizziness produced a Lake Louise AMS score consistent with moderate acute mountain sickness. Garmin data and a detailed reconstruction of food, fluid, workload, and sleep revealed a more complex event. This case study examines how altitude exposure interacted with carbohydrate depletion, dehydration, and accumulated fatigue - and why backcountry illness is often better understood as a convergence of physiological stressors.
Reaching the Summit of Misti: The Challenges of High Altitude Hiking
Misti is one of the three volcanoes you can see from Arequipa, Peru, which is the second-largest city in the country. Part of the Andes mountain range, Misti is located between Chachani and Pichu Pichu. In this article, I’ll tell the story of my Misti summit attempt and share some lessons I learned along the way.

