On our tours of Peru we reach heights of over 3,800m as well as 5,000m. The high altitude air is oxygen poor and of lower atmospheric pressure, which is why at altitude from 2,500m symptoms of altitude sickness such. Headache, dizziness and nausea can show. Although the itinerary provides for a slower height adjustment, traveling through Peru requires good health as well as a good basic condition. All travelers interested in cardiovascular complaints are urgently advised by the family doctor, who should then also inform you about possible preventive measures. Sorochipills are best bought directly in Lima because they are a lot more expensive outside. More about this topic can be found here.