It is essential that you are fully informed and prepared at all times whilst training and trekking. The following information has been put together to help answer some of the most frequently asked questions. Alternatively, we are here to help so please feel free to contact us if you have any further questions. 


Personal shopping for the right clothing and equipment for your trek is included in all of the Fit & Ready Adventure Travel Treks, and a detailed gear and packing list will be provided to you on booking; however here are some points to consider when selecting your gear and packing for your trek:

  • During your trek, you will move from warm, low altitudes to cold, high altitudes, therefore you will need to be able to easily add or remove clothing as required. It is far better to wear a number of layers that can be added or removed with temperature and activity variations. If possible, take clothing that is flexible in its uses.
  • Be prepared for changing weather conditions at all times. Your day may start out sunny and warm but quickly become cooler as you gain altitude. It can even rain or snow at any time. Remember, your physical comfort and well-being will influence your ability to enjoy and appreciate the trek. Hopefully you won’t need your wet or cold weather gear, but you need to be prepared just in case! 
  • You will only need one set of casual clothes to wear in the major cities and towns. If needed, there is a special same-day laundry service at the Shangri-La Hotel in Kathmandu for clothes left by 8am.
  • There is a maximum weight limit of 15kg on domestic flights in Nepal, so pack accordingly.
  • Don’t bring large toiletry containers – decant a small amount into small plastic containers and take those. 
  • Your main kit bag will be carried by a porter, and whilst Nepalese porters are capable of carrying weights that would make most trekkers blanche, be conscious about the weight of your bags.
  • We recommend that you carry a letter from your doctor explaining any less common prescribed medications that you may carry.

It is compulsory to have travel insurance in order to attend all of the Fit & Ready Adventure Travel treks. Travel Insurance needs to cover you for cancellation, medical costs associated with hospitalisation, rescue, emergency evacuation and repatriation back to your home city, if required. 

Passports & Visas

You will require a valid passport with a minimum validity of 6 months. Nepalese visas can be obtained on arrival at Kathmandu airport. 

Medical Advice 

Once you have decided which adventure trek is for you, you will undertake a health and fitness assessment with Life & More High Performance Training prior to commencing your  fitness training program. You will be advised if you need to consult a health professional following your health and fitness assessment.


International flights, visas, insurance, meals not listed, all refreshments, any optional tours and activities during free time, camera fees, excess baggage charges, showers on trek (if available), tips or gratuities and items of a personal nature are not included in the overall price of your trek. 


Refunds are not applicable after the trek has departed. Refunds are subject to the cancellation penalties incurred by Fit & Ready Adventure Travel and the suppliers of this trek. 


Fit & Ready Adventure Travel and Himalayan Hikers Expedition reserves the right to amend or cancel treks at any time, and does not accept any liability for any part of this tour including those provided by the suppliers of this tour. 


Acute Mountain Sickness (AMS)

During parts of your trek you will ascend above 2800m. At this height it is common for travellers to experience some adverse health effects due to the altitude regardless of their age, gender or fitness. It even happened to Sir Edmund Hillary!

What is it?

Acute Mountain Sickness (AMS) or altitude sickness is the reaction of the body as it adjusts to the high altitude and decreasing amounts of oxygen. 

Altitude sickness most commonly occurs above 2800m but it is different for everyone. There is no way of knowing your own susceptibility prior to being at altitude thus it is vital you monitor your own health. Symptoms may be mild and subside after a day’s rest; however if symptoms are ignored it can lead to death.

Symptoms of altitude sickness

Symptoms of altitude sickness can appear within 1-2 hours, although they most commonly appear gradually 6-10 hours after ascent. Symptoms generally subside in 1-2 days as the body adjusts to altitude but may reappear as you continue to move higher. 

Symptoms can be one or a combination of the following:

  • Headache
  • Loss of appetite
  • Disturbed sleep or drowsiness
  • Irritability
  • Fatigue 
  • Nausea / vomiting 
  • Dizziness  
  • Swelling of hands, feet and face

If the body is unable to adjust to altitude and these symptoms persist and are left untreated, altitude sickness may progress to High Altitude Cerebral Edema (HACE) or High Altitude Pulmonary Edema (HAPE). Both can be fatal if ignored.

Symptoms of HAPE (fluid on the lungs) are:

  • Breathlessness
  • A dry cough, developing to a wet one with blood-tinged discharge or saliva
  • Tightness in the chest and blueness / darkness of face, lips and tongue
  • Low fever up to 38°C/100°F
  • Severe fatigue, progressing to a coma

HAPE can occasionally develop without displaying the usual symptoms of altitude sickness. A telltale sign of this is if breathing does not return to normal when at rest, remaining shallow and rapid after an extended period of inactivity, often accompanied by a cough.

Symptoms of HACE (fluid on the brain) include:

  • Severe headache symptoms not relieved by painkillers or lying down
  • Confusion, disorientation and drowsiness
  • Nausea / vomiting
  • Loss of balance or coordination
  • Blurred or double vision / retinal haemorrhage
How to avoid altitude sickness


Some pre-existing medical conditions are known to severely worsen at high altitudes and can be difficult to adequately treat on the ground, leading to more serious consequences. It is imperative that you discuss any pre-existing medical condition/s with your doctor prior to booking. 

During your trek

While our trek leader and guide have basic first aid training and are aware of the closest medical facilities, it is important that you are aware of the cause and effects of travelling at high altitudes, and monitor your health and seek assistance accordingly.

You can help your body acclimatise by:

  • Drinking plenty of water - at least 4 litres per day on top of other forms of fluids such as tea or soups
  • Avoiding alcohol, tobacco and substances that can interfere with delivery of oxygen to the body or cause dehydration
  • Eating small, frequent meals high in carbohydrates
  • Avoiding over-exertion by taking it easy or having regular breaks
  • Walking at a slower pace than you would at sea level.
Treating altitude sickness

Most travellers successfully acclimatise by following the above guidelines. However, there are instances when medical treatment is required. Ultimately, the best treatment for acute altitude sickness is to descend to a lower altitude.

We recommend you monitor any altitude related symptoms you experience from the first day you experience them. We also encourage you to discuss them with your trek leader immediately so you can both monitor your acclimatisation progress. Should you rate the severity of any symptoms at 7 or more, or the symptoms continue to worsen after the initial 1-2 days, inform your trek leader without delay so that they can seek the advice of a trained medical professional if necessary.

There may be times when your trek leader makes the decision that you or a member of your group is at risk of serious altitude sickness and for safety insists that you cannot ascend further - please respect that they are within their rights to do so and are making that decision in the best interest of your health and well-being.