Trip Name: Manaslu Circuit Trek Max Elevation: 5143 m Fitness Level: Moderate & Challenging Trekking Hour: Approx. 5-6 hours Group size: Minimum 2 & maximum 10 pax Departure: Every Mon, Thus & sat (Sep to Nov & Mar to May) Meals: Breakfast in Kathmandu and all Meals during the trek Accommodation : 3 Star hotel at Kathmandu and Guest house during the trek The Manaslu Circuit Trek is relatively unknown trekking route and is often called the best all-round trek in Nepal. Despite of its increasing in popularity, it still sees little flock of travelers, which makes your visit here more exclusive and unexplored. Along the trail, you will be making a loop of the 8th highest peak in the world. This trek has all the features of wilderness trekking in Nepal that includes both Hindu and Buddhist culture, wildlife, rhododendron forest, wild flower, deep valley, raging rivers and spectacular mountain scenery. The trek starts balmy at an altitude of 800m, rise to 5,160m at the highest point, Larkya La Pass and drops back down again. This significant change in altitude and climatic zone makes Manaslu circuit trek, one of most diverse trek in the world varying from sub-tropical to alpine forest skirting ice glacier and back again in reverse. The trekking to Manaslu circuit was restricted until 1991 which makes this place one of most preserved region in the world where people still follows ancient culture and tradition. Traverse through an ancient salt trading route of Tibet, crossing Buri Gandaki, a long and tough gorge that cuts its way through vast mountains and discover the splendor of pine, rhododendron and bamboo forest. The trail is wild and remote, yet there are profusion of tea-houses and lodges at everyday stage of trek so you don’t have to carry tent and food. Camping is required if you follow the off beaten tracks. Manaslu circuit trekking can be done overland so it avoids the need of airstrip. The unhindered view of Manaslu range and close insight of highland tribe are the major highlights of Manaslu Circuit Trek. In terms of difficulty, it is more similar to Annapurna circuit trek and Everest Base Camp trek. So you need physical strength and stamina to accomplish the trail. Manaslu Circuit Trekking is possible to conduct throughout the year however March-May and the last week of September to mid-December are considered as the best season for the trail. It is also possible to trek in winter but you must check the availability of tea-house beforehand. Manaslu Circuit Trek Highlights: -Circuit the Manaslu mountain range -Wonderful Budi Gandaki and Marsyangdi River -Stunning panoramic Mountain Views of Mt. Manaslu range, Mt. Ganesh Himal Range and Mt. Annapurna Range -Adventure Larkya La Pass (5160 m) -Old Buddhist Monasteries in that region -See the beautiful Wildlife (Wild goat, Blew Sheep. Pika, Marmot, deer Etc) -Old local Village ( Namrung, Sho, Lho, Samagaun and Samdo) with their culture and lifestyle -Wonderful and perfect Nature and Culture Why Manaslu Circuit Trek? The Manaslu Region trekking is the best trekking destination in Nepal Himalayas and it offers a wide range trekking option. It is remote and off the beaten trekking trail comparing the Annapurna Trekking and Everest trekking. There is a popular high pass (Larke-La 5160 m) to down in Annapurna region as well as opportunity to observe the unique mountains vista, wonderful landscape, rivers, streams, beautiful terrace rice filed, green forest, wildlife, local village with their life style and religion, popular old monasteries, Glacier, glacial Lake during the Manaslu Circuit Trek. The Manaslu Circuit Treks leads to you circle the Massif Mountains Including Mt. Manaslu (8156 m). The Manaslu Circuit Treks leads you to circle the Massif Mountains including Mt. Manaslu (8163 m), Mt. Ngadi Chuli (7871 m), Mt. Himal Chuli (7893 m) and many others snow-capped mountains. Why with us? Trekking in Nepal with High Pass Adventure means a lot. It means friendship, fun, convenience, adventure and above all the security and safety we bring. Our long experience in Nepal and true dedication guarantees your vacation is well thought out and planned to make the most beautiful journey of your lifetime. We are flexible for create a suitable itinerary and offer such a great combination of quality hotel, small group size trip, family tour, solo trekking, honeymoon trip, group trekking. Also our guides have general knowledge about first aid kits and long years experience in the trekking fields and hire strong porters for supporting by carry the luggage. Important Note: Some time becomes problems like weather condition, local politics issue, transportation or other factors that are beyond from our control. It might be change the itinerary. However, it is very unlikely that the itinerary would be considerably changed. If alterations are necessary, the Guide and Trekking leader will decide what is the best options are. You can talk and decide taking into through the best happiness of the whole group. Where a change does suggest itself, we try to do everything we can to minimize its effect, but we cannot take responsible for the results of changes or delays. Our trekking staffs are experience and professional and try to solve all problems during the trekking.

Day 01: Arrival in Kathmandu and transfer to hotel by privet vehicles (1350m) overnight at hotel High Pass Adventure Pvt.Ltd. welcomes you to in Nepal, One of the company staff will be waiting outside the baggage hall of the Tribhuwan International Airport (TIA) in Kathmandu. You have to look for the person carrying on A4 size paper with your and company name. This person will take to you hotel in Kathmandu from the airport. Check into hotel, rest and fresh up and ready for the meeting to your programs in our trekking office. Day 02: Kathmandu valley sightseeing tour and trek Preparation day in Kathmandu (1350m) overnight at Kathmandu hotel You will enjoy your breakfast in the hotel and get ready for the Kathmandu valley tour with experience tour guide. Our tour is of the UNESCO World Heritage Sites in Kathmandu Valley. You will be visiting Swayambhunath, Kathmandu Durbar Square, Pasupatinath and Boudhanath, which are best and popular place 4 out of 7 UNESCO World Heritage Site in Kathmandu Valley. You will be visiting by comfortable privet vehicles before walk tour of these sites. There are interesting tour for full of fascinating insights in to Buddhism, Hinduism, ancient art and historical architecture, lifestyle, cultural of people of Kathmandu Valley. After this tour you will come to office and finalize your trekking clothing and gear. Day 03: Drive to Arughat- Sotikhola (715 m) 8/ 9 hours drive. Overnight at tea-house After Breakfast in the Kathmandu hotel, we leave to Arughat- Sotikhola from Kathmandu, about 8/9 hours by bus or a private jeep through the beautiful landscape and bumpy road on last 2 hours. Day 04:Trek to Khorlabesi (1080 m) 6 hours walk. Overnight at tea-house The trek starts to Khorlabesi through khorsane settlement, Saal forest and Machhakhola. Trekking trail is very easy to continuing follow the new constructed road along the riverside. You will walk and enjoy with pleasant views of the surrounding jungle, occasional waterfalls and suspension bridge adding their best hike. Day 05: Trek to Jagat (1400 m) 6 hours walk. Overnight at tea-house Trekking trail lead to Jugat through Tatopani, Dovan, Bklebhatti, Yaruphat and lower Jagat. Where is you will see small natural hot spring at Tatopani and cross the few bridge of Budi Gandaki River and observe the local people culture and lifestyle. Jagat is entry point of the Manaslu Conservation area and on to the scenic village of Jagat and its rugged setting and narrow paved lanes. Day 06: Trek to Deng (1860 m) 6/7 hours walk. Overnight at tea-house Our trekking day starts by walking through subtropical rainforest and a series of small local village such as Salleri, Philim and Eklebhatti. These villages are beautiful setting with terraced field. ,you will chance to see big Sringi Mountain before get Philim Village and crossing a suspension bridges along the way. Furthermore, trail arrives at the junction of Tsum Valley and Larke La Trek and trail heading northwest to Deng through green bamboo forest. Day 07: Trek to Namrung (2630 m) 6/7 hours walk. Overnight at tea-house That day is will be perfect trekking day with first real views of the major mountains Sringi Himal, Ganesh Himal, Kutang Himal and other peaks. Also you will observe the real highland people’s culture and lifestyle and different landscape. Day 08: Trek to Lho village (3175 m) 4 hours walk. Overnight at tea-house From Namrung , the trekking trail bit climb up and passage green forest to Lihi village. That village is popular for its Chortens, Barley Terraces and apple farm. After cross that village we get Sho village and reach out the Lho Village. After our half-day hike to Lho, there is plenty of time left over to fully observe the gorgeous views of Manaslu, few snow peaks and visit Rebung Gompa on hillside of the Lho Village. Day 09: Trek to Samagaon (3550 m) 4 hours walk. Overnight at tea-house After two hours hike up, you will cross the Shyala village through the pine forest and continue heading to reach the Sama village. Shyala village is place to see the spectacular vistas of Manaslu, north Manaslu, Himal Chuli, Nadi Chuli, Naike peak, Kutang Himal, and Pangbuche Himal. That day is quite short hike to get Sama Village and you will have enough time to visit Monasteries and Birendra Lake. Day 10:Acclimatizing day at Samagaun. When you get above 3,000 m height, you need to rest and acclimatize to the increasing altitudes. Main attraction of that days are Pungyen Gompa, Manaslu Base camp and short hike to Birendra Lake. You can decide with your guide about explore those area. Day 11: Trek to Samdo (3860 m) 3/4 hours walk. Overnight at tea-house That day is bit easy hike to Samdo Village but makes difficulty due to high altitude increase. Trekking trail follow the Budi Gandaki River through alpine forest to suspension bridge of that river. After cross the bridge, trail continue heading to Samdo. That day will be bit windy and can observe the some Himalayas view. Day 12: Trek to Larke Phedi (Dharmasala) (4460 m) 4/5 hours walk. Overnight tent camp We start our trip by crossing a suspension bridge over Budhi Gandaki River and begin a hike up to north- west in Larke bazaar. There, used to be a successful market but nothing remains in nowadays. That day is feeling difficulty due to feel less oxyzon because the trail heading steeply up and increases altitude to Larke Phedi through juniper forest. This day is short walk to Larke Phedi and provides enough time and rest to acclimatize for the further trek Day 13: Trek to Bhimthang (3880 m) via Larke Pass (5160 m) 8/9 hours walk. Overnight at tea-house This day is tough walk, though not strictly difficult trek over the Larkya pass at a spectacular 5160 m. From Larkya Phedi, cross glacial moraine and past frozen lakes as you make your way to the pass. It takes approximately 4/5 hours to get this pass but We walk slowly and listen to our body as we gain altitude some may feel nauseous or suffer from headaches. From here you can see unbelievable views of Himlung Himal (7,126 m), Cheo Himal (6,820 m), Gyaji Kung (7,030m), Kang Guru (6,981 m) and Annapurna II (7937 m). From the top trekking trail drop down to Bhimthang along a steeply gorge. This day is a longer walk than other days and you reach the guesthouse. Day 14: Trek to Tilche (2300 m) 7 hrs walk. Overnight at tea-house After breakfast with enjoying the splendid views of the mountains, our way is descending towards a high pasture and gradually leaved behind the alpine climate through familiar pine and Rhododendron forest. That day you can chance to see wild life and birds before reached Tilche village. Day 15: Trek to Dharapani and drive to Besishahar (760 m) 2 hours walk and 3 hours drive. Overnight at tea-house We will leave beautiful Gurung village in Tilche and cross a suspension bridge over Dudh Khola then follow the lower valley to Dharapani. Dharapani is check point of the Manaslu circuit trek permits and Annapurna circuit trek permit. After checked our permit, we take a jeep or bus to Besishahar. That’s takes about 3/4 hours drive and spend there for last night of the trek in there. Day 16: Drive to Kathmandu (1350 m) 5/6 hours drive . Overnight at Hotel We have breakfast there and drive along the banks of Marsyangdi and Trishuli River with witnessing the beautiful scenery of rice fields, terraced farms, valleys and refreshing views of the hilly areas and mountains. After 5 hours drive we reached Kathmandu where you will spend the last night in Nepal and complete your journey. Day 18: Final departure to your destination This is your last day of your trip in Nepal. One of our High Pass Adventure staff will take to you Kathmandu international Airport for your flight departure time. If you are looking to your extra trip in Nepal, High Pass Adventure help to you for your next trip and adventure activities in Nepal, Tibet, Bhutan and India.

High Pass Adventure have working best guide and porter for the trekking. We are providing an excellence service to our customer. All our costs are net and very clear on cost include-excludes. We have paid best salary to Trekking, Tour guide and porter which is more than government fixed amount. Our entire customers are satisfied from our service. For the more details please feel free to contact us. Cost Include Airport Pick up & drops 2 times domestic / International

All Ground-transportation above program

Kathmandu valley sightseeing

3 meals per day during the trek (Breakfast Lunch & Dinner) and one cup of tea with per meal

Accommodation on Tea-house during the trekking

2 night's Hotel in Kathmandu and 2 nights on Bed & Breakfast plan

An experience English Speaking Guide

Necessary Porter 1: 2 (one porter for two Guest), the porter will Carry 20 KG/ 25 KG

All applicable taxes as per the government rules and regulations

All trekking permits (ACAP, MCAP, TIMS)

Special Manaslu Trekking Permits

First Aid medical kit, Oxy meter to check pulse, heart rate and oxygen saturation at higher altitude

General equipment for Porter during the adventure trip

Guide and porter salary and insurance during the trek

All organizational requirements

Duffel Bags refundable to protect your Luggage

Tour Certificate, Company T-shirt as a Souvenir

Farewell Dinner with Typical Nepali Restaurant Cost Exclude Nepal visa fee

Your International flights

Lunch and dinner in Kathmandu

Extra night hotel accommodation in Kathmandu other than itinerary

Travel insurance

Mountain rescue service

Personal expenses (phone, laundry, water, bar drinks, battery recharge, extra porters, hot shower etc.)

Trip Cancellation cost accident or Health, Loss Theft or Damage and personal effects

Tips

Information of Manaslu Conservation Area Project Manaslu Conservation Area project (MCAP) is protected area of Nepal and located in north center in Nepal and it covering the 1663 square Km in the Mansiri Himalayan range in the Gorkha District. It has established in 2055 B.S. (1998 A.D.). It is bounded by the Tibet border in the north and east, Budi Gandaki River in the south and Annapurna Conservation area is the west border. The area took in mountains, glaciers, water sources and forest in the elevation from 1400 m to 8,156 at the mount Manaslu This project was initiated by National Trust for Nature Conservation (the king Mahendra Trust for Nature Conservation) a non- government organization and donate by many international trusts. Nowadays, this project conserved by National Trust for Nature Conservation (NTNC) and local people community from local area. This conservation is worthy of flora and fauna because this conservation is home of 33 species of mammals including Barking Deer, Musk Deer, Snow Leopard, Leopard, Blue Sheep, Himalayan Thaar, Black Beers as well as over 100 species of birds, three species of reptiles, four species of frogs and over 1500 to 2000 species of flower and plant. How to get the Manaslu Region ? If you are wondering to get in to the Manaslu region from Kathmandu, here is little information to entry the Manaslu Region. Gorkha Bazaar and Arughat is the starting point to enter the region. There is easily accessible from Kathmandu by public bus or private vehicles. It is North West part and about 140 km far from Kathmandu. It takes approximately 6-7 hours by vehicles to reach out there. Even though Trekking Itineraries are always flexible because there are many starting and ending place, so it may take a little more or less than that. The road condition is quite smooth with blacktop covered until Taribesi. There was rough road between Dhading Besi to Taribesi. From Tari Besi to Arughat road is still rough. That section would be tough during the raining season. Manaslu Region Trekking is not allowed to do individual, it means you have to book with registered trekking company in Kathmandu. So, trekking company arrange you private jeep or public bus depends on your trekking package services Manaslu Region Trekking Permit Manaslu Region is situated in Manaslu Conversation Area. It is opened for trekking in 1991 A.D. and remote sector with simple accommodation. Manaslu Region is protected area by Manaslu Conservation Area Project (MCAP) and the government of Nepal controls all trekking activities. So you will need permission to trek in this region. Manaslu Region is also restricted trekking destination in Nepal. The permit cost of Manaslu region trekking is depends on number of days and months as well as you will need different kinds of permits and issued by Government of Nepal. Manaslu Restricted Permits Manaslu Circuit Trek permit cost is USD 100 for the first seven days and additional USD 15 each day during the September to November. Manaslu Circuit Trek permit cost is USD 75 for the first seven days and additional USD 10 each day during the December to August. Manaslu Conservation Area Project (MCAP) entrance fees SAARC Nationals entry fee is 200 Nepali Rupees per person and per person 3000 Nepali Rupees for others Nationals. Annapurna Conservation Area Project (ACAP) entrance fee for the Manaslu Circuit Trek is: SAARC Nationals entry fee is 200 Nepali Rupees per person and per person 3000 Nepali Rupees for others Nationals. Tsum Valley Trekking Permits Tsum Valley Trek Permits cost is USD 40 first seven days and additional USD 7 each day during the September to November. Tsum Valley Trek Permits cost is USD 30 first seven days and additional USD 7 each day during the December to August. All of these permits are compulsory for your trek to Manaslu Region and your Trekking agency help to issued all trekking permits. Food and Accommodation in Manaslu Region Manaslu Region is getting popularity day by day similarly Everest, Annapurna and Langtang Trekking but still remote and rural area which makes the costs of goods more expensive than other areas. There are basic and limit accommodations and restaurants along the trekking trail but every year increasing new house and add the room for trekkers. Food and accommodation price are increases if you go higher and the food and accommodation is in Manaslu region is expensive due to transportation but still cheaper than Everest region. Normally, lodges have basic private rooms (2 beds in one room) for customers with sharing indoor bathroom. Every lodge have food menu and foods items are almost same. We strongly recommended typical Nepali dish “Dal-Bhat” (boiled rice, vegetable, lentil soup) but if you like, you can choose others food from food menu. Most of the lodges produced fresh Vegetables on their garden and serve to costumer. Basically, the cooks are trained but food taste might be bit different than western. Meat is not fresh in the mountain area so you have tried to be vegetarian during the Manaslu region trekking. You can buy all types of drink in every lodge but the prices goes high as you go higher. You can drink normal water with using a purification tablets. Avoid the alcoholic drinks when you go higher. Best Season for Manaslu Circuit Trek There are two main trekking season for Manaslu Region. Autumn trekking season (September to December) and spring trekking season (March to May) are the best trekking seasons. Even though, beginning of September to end of May are the very good times for the Annapurna base camp Trek. The weather is perfect sunny and warm with wonderful mountains views clean air and not rain and snow compare with other trekking season. If you want and wish to avoid crowds and enjoy some alone time with nature and culture, you can do this trip during the winter (January and February) also could be an option. The temperature during winter could be little bit cold for most trekkers but the visibility is not bad but there is a high risk to do Manaslu Circuit during the winter season due to lot of snow on Larke (5160 m) top. In the summer season (June to August) is raining but best time for nature lovers. That is why; you can choose your best season for Manaslu Region Trekking depends on your Vacations. Manaslu Circuit Trek Difficulty Manaslu Region Trekking is moderate difficulty fit level adventure trekking route in Nepal. There is one of the popular adventure high pass call Larkey Pass. This is 5160 m height. In the winter season, it is very difficult to cross this Larke pass due to lot of snow. This trekking requires good physical condition health and has to able to walk 6-8 hours a day. If compare the Manaslu Trekking route with others trekking route, it is not difficult. Furthermore, if you have not previous trekking experience, it will be difficult level of trekking but not as tough if you have already trekking experience before this trip. Manaslu Region is remote and less traveled trek compared with Annapurna Region and Everest region Trekking. Trekking Gear List Travel equipment are necessary to pack before you travel. We hope it is too much to carry from your home to others country but some are the necessary equipment can be hired or buy in Kathmandu around Thamel. These general equipment are for all seasons while on trekking in Nepal, but may be different as per the different season and duration of trekking routes on your chosen trip. Documents: -Passport and 4 passport size photos -Travel insurance details (in case an emergency evacuation if needed) -Boarding passes for flights -Driver’s license (if needed) -Cash USD -Credit/Debit Card (Ensure you have $500 on your card incase an emergency helicopter evacuation is needed) Sleeping: -Sleeping bag (Comfort rating -15 Celsius recommended) -Sleeping bag liner (Optional) Footwear: -Trekking boots: one pair lightweight -Sandals for city and tea house footwear -Shoes for the plane and tea houses (Optional) -Gaiters for hiking in winter to the base camp -Thin, lightweight inner socks -Thick, warm wool hiking socks Clothing for body: Please make sure that you have non-cotton clothing for trekking. -Base-layer t-shirts (e.g. running t-shirts) -Fleece/Windproof jacket -Waterproof jacket -Down jacket for warmth -Travel clothes and City Wear -Underwear -Base-layer trousers (optional) -Waterproof trousers -Trekking trousers -Trekking shorts (Optional) -Gloves and wool hat -bandanna or scarf Health Requirements (Basic First Aid Kit) -First-aid kit; should contain lip salve, Aspirin, Band Aids, anti-histamine, Imodium or similar tablets for mild cases of diarrhea -Re-hydration powder, extra prescription drugs you may be taking if any particular -Wet wipes for cleaning can be purchased in Kathmandu Others: -Sunglasses and Sun cream -Towel -Book (reading and writing materials) -MP-3 /Music, headphones and ear plug (who know some people on group are snoring) as optional. -Travel wash -Hand sanitizer, wet wipes -A day bag: 35 liters -A duffel or rucksack with straps to go over your back (Max 12 kg of weight for porters to carry) -Dry Liner or Dry Bag -Water bottle/thermos/ camel bag: At least 2 L. Nalgen bottles best. General Toiletries: -Toilet papers/ tissue -Contact lenses, Glasses (if needed) -1 medium sized quick drying towel -Tooth brush/paste (preferably biodegradable) -Multipurpose soaps (preferably biodegradable) -Nail clippers -Face and body moisturizer -Feminine hygiene products -Small mirror -On Personal Hygiene -Wet wipes (baby wipes) -Anti-bacterial hands wash Others (optional) -Trekking Poles -Large plastic bags – for keeping items dry inside your kit / duffel bag -Travel game i.e. chess, backgammon, and scrabble. (for luxuries) -Binoculars (for luxuries) -Trail Map/Guide book (if you are alone)

Visa and Passport Information All foreigners require a visa to entry in Nepal except Indians passport holder but you must hold a six month validity date passport to apply for a Nepal tourist visa. On arrival visa available in the Tribhuvan International Airport and border of India and china Tibet. You should bring PP size color picture to apply for visa enter in Nepal. Please click this link for more details about Visa Information. Money Exchange Rate and Places If you are looking for foreign currency exchange rate and place in Nepal, you can easy to exchange most of the foreign currency with local bank and legal money changer center at popular tourist city in Nepal. All the exchange rates are under the Nepal Rastra Bank (Center Bank of Nepal). If you want exchange the small amount of money, you can exchange in the hotel. Please bring clean and new notes because our banks not accept the old notes (foreign currency). Normally Nepalese peoples prefer cash in hotel, restaurant, shopping center and others area because avoid the long process from card and traveler cheque. If you have credit and debit card, you can withdraw cash (in Nepali Rupees) from ATM counter. There are several ATM counters center in main tourist city and it has 24 hours service. Maximum withdraw amount is 30,000 to 35,000 rupees in a one time and 500 rupees is processing fees, if you are using your card. Most of the trekking routes, there are not a service of foreign currency exchange so you have to exchange your money in Kathmandu or Pokhara before the trek. Furthermore, ask to your trekking operator or trekking guide about how much money need for trekking in Himalayas. Click here for more details. Safety and Security Safety and security is important subject during the traveling from your arrival and departure day in Nepal. We are always with you for help and give you guarantees to our valuable customers about best service. Our guides have general knowledge about first aid kits and long years experience in the trekking fields. It is necessary for trekking in Nepal because it goes more than 4000 m height from sea level. If trekker gets sick due to high altitude, our professional guide explains about the medication and decides to further trekking destination and manage the emergency rescue because health is important. Trekking trails are not enough wide to crossing each others, so you need to careful when they pass. There are many porters, yaks, mules and Jokpe along the trekking trail during the peak trekking season. If you meet them on narrow place and bridge, you have to stand on the safe side otherwise they can push to the cliff. Safe Drinking Water Clean water is important for good health during the travelling and staying hydrate body. It will be best way to complete the trek in the Himalayas. If not, easy to get sick and diarrhea. Almost every where you can buy bottled water during the tea-house trek in Nepal but not in the camping trek. Bottled water is much expensive than you expect. Plastic bottles are bad for environment in Nepal, so please bring good water bottles (for boiling water) and water purification tablets or water filter bottles. Water bottles should be re-use-able because keep the mountain clean. If you are worried about regular water tap of water for fill up your bottles in the trekking area of Nepal, there are easy to find on the all trekking routes. You will be found at lodges, streams and rivers. Travel insurance and Insurance Policy The trekking in Nepal Himalayas grade rank are easy / moderate / challenging difficult. So, it is the risk of high altitude and potential accident due to Himalayan climate changes. Travel Insurance is the very important for Trekking in Nepal Himalayas because treks goes to high altitude (over 4000 meters) and it requires practical trekking skills, which might be unexpected happening or accident during the treks and that requires medical assistance and evacuation which might be expensive to come back down or city and treatment. So, you have to make sure to get insured that covers the costs of air ambulance, treatment and all the travel related risk like lost, stolen, damaged or delayed baggage and flight delays. Yours insurance policy should cover up yours entire activities during the staying in Nepal. You need to ensure that your insurance policy covers treks that go over 5,500 meters. Otherwise you have to take the responsibility regarding unexpected expenses of the cost during the Trekking in Nepal. It is part of our booking form for trekking and climbing in the Nepal to all the member of trekkers have to send a copy of their informative travel insurance policy certificate to High Pass Adventure. High Altitude Sickness Information High altitude sickness is known as mountain sickness. If you walk or climb to higher elevation, it appears very quickly so you have to know symptoms of high altitude sickness. If you are wondering why it happens, here are some information. It is from the air pressure. When you go to higher elevation, this air pressure drops down and less oxygen so your body will need time to adjust to change air pressure. According to doctor, it starts from 8,000 feet (2400 meter) if you are from sea level. Types There are three types of altitude sickness Acute Mountain Sickness (AMS): it is very common and symptoms feel like a tiredness, dizzy, headache, thirsty, muscle aches, nausea

High Altitude Pulmonary Edema (HAPE): it is effect in the lungs, which can be very dangerous and hard to do life threatening

High Altitude Cerebral Edema (HACE): it is effect in the brain and most difficult to treatment and you need to go hospital attention right way. Cause Here are causes of high altitude sickness

You live at near sea level and travel to a high elevation

You have had the sickness before

You climb quickly

You have not acclimatized to the altitude

If you are drink alcohol when you ascend

If you have medical problems of heart, nervous or lungs Symptoms These symptoms will appear depend on your speed to climb and how hard you push. Symptoms range from normal to serious. They can affect the nervous system, lungs, muscles, and heart. Here are symptoms of High Altitude Sickness

Difficulty sleeping

Dizziness

Fatigue

Headache

Loss of appetite

Nausea or vomiting

Rapid Pulse (Heart Rate)

Short breath with action

Blue color of skin or gray soft skin

Chest tightness or blocking

Confusion

Dry cough or coughing with blood

Cannot walk in a straight line Prevention Important keys to preventing of High Altitude Sickness are:

Climb the mountain gradually.

Stop every 2,000 feet (600 meters) of climb above 8,000 feet (2,400 meters) and one or two nights sleep there.

Sleep at a lower altitude when possible.

Make sure that you have the ability to quickly descend if needed.

Learn how to recognize early symptoms of mountain sickness. If you plan on climbing quickly, or climbing to a high altitude, ask your provider about medicines that may help. If you are at risk for a low red blood cell count (anemia), ask your provider if your planned trip is safe. Also ask if an iron supplement is right for you. Anemia lowers the amount of oxygen in your blood. This makes you more likely to have mountain sickness. While climbing you should do these things Drink plenty of water

Climb slowly.

Take it easy

Do not drink alcohol.

Eat regular meals that are high in carbohydrates.

Sleep lower elevation

Take a medication (diomax) according to doctor