I've guided dozens of trekkers up to Annapurna Base Camp over my 10 years as a Himalayan trekking guide, and let me tell you, altitude sickness isn't some abstract bogeyman—it's the uninvited guest that can turn your dream trek into a nightmare if you're not wise to it. At 4,130 meters, Annapurna Base Camp sits high enough to test even seasoned hikers, but with smart prevention, most folks sail through without a hitch. Reality check? About 10% of trekkers feel its grip enough to turn...

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