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Often, this was the development of an infarct in the basin of the anterior cerebral artery in the occlusive process in both carotids in patients with severe coronary heart disease.

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Tolerance moves up as your body acclimatizes to the higher altitudes. As opposed to having the drug already in your system, and your last option of AMS relief is for a descent. It is tightly bound to carbonic anhydrase and accumulates in tissues containing this enzyme, particularly red blood cells and the renal cortex. If you are taking the tablets, take this medication by mouth, usually 1 to 4 times daily or as directed by your doctor. Diamox acts by instructing the kidneys to rapidly excrete that bicarbonate hence turning the blood acidic and compensates for the respiratory alkalosis.

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If there’s a better way to do the Srinagar-Drass Section other than the two options mentioned, please let me know.

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