The tour begins in Leh at about 3,500 meters, so proper acclimatization is important. We spend two nights in Leh and two nights in Alchi (approx. 3,000 m) before riding to higher regions. Serious altitude sickness is very rare on our tours. Mild symptoms such as headaches or dizziness can occur while the body adjusts to the altitude. We recommend discussing altitude medication such as acetazolamide with your doctor before travelling.