I only had one altitude problem which was swollen feet and ankles--after wandering around Machu Picchu,they were pretty painful. Someone suggested the spa might help---what an understatement!!! Getting into nicely hot water,surrounded by flower petals and eucalyptus twigs which all-in the hot water released their oils,was utterly blissful,it soothed the pain,completely relaxed me,and followed by a very professional massage made a brilliant end to the day.I can't recommend this highly enough--go for fun,just to experience it or if you've altitude problems---you'll love it!!!
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