Manang Valley and Annapurna Circuit Trek is the incredible trek to isolated valley following the ancient Bonism clicking the entire Annapurna massif reaching the zenith Thorang-la Pass.
Annapurna Circuit Trek, two weeks of walking journey along the horse shoe shaped fascinating trail that encircles amazing Annapurna is the world’s most popular trek beyond doubt. It is the most frequented trek in Nepal as well.
The trek highlights exceedingly beautiful Manang Valley settled by the endogenous Gurung. The cultural encounters in numerous ethnically inhabited villages are the wonders of Nepal’s cultural diversity seen during the trek. The floral and faunal biodiversity of Annapurna Conservation Area Project are great sights. The rawness of nature that include pure cascading waterfalls, Rocky Mountains and deep gorges are mesmerizing.
The most important highlights of the trek is the Himalayan vista from the top of Thorung La Pass. The incredibly adventurous walk to the top of Thorung La Pass and down to Muktinath is beautifully challenging. The shifting views of Annapurna and its neighboring peaks are always the prime highlights of Annapurna Circuit Trek. Last but not the least Jomsom the last stopover point of the trek is simply an icing on the cake.
In addition, if you wish to enjoy natural beauties, enhance cultural experiences of Annapurna Region, you could join our Round Annapurna Trek-19 Days. Meantime, the best alternative of this trek is Tilicho Lake and Annapurna Circuit Trek-15 Days.
If you are not satisfied with this itinerary or if you want to customize this package in your timeline or budget, then you could contact us, or email to info@hikingnepal.com
Outline Itinerary:
Day 01: Arrive to Kathmandu & transfer to hotel (Altitude: 1350/4428 ft. Meal: Dinner)
Day 02: Drive Kathmandu to Syange via Besisahar (Altitude: 1100 m/3630 ft. Drive: 6/7 hrs. Distance: 205km Meal: BLD)
Day 03: Trek Syange to Tal Village (Altitude: 1675m/5494ft. Trek: 6 -7 hrs. Meal: BLD)
Day 04: Trek Tal Village to Timang (Altitude: 1943 m/6412 ft. Trek: 5-6 hrs. Meal: BLD)
Day 05: Trek Timang to Chame (Altitude: 2,630 m/8679 ft. Trek: 5-6 hrs. Meal: BLD)
Day 06: Trek Chame to Pisang (Altitude: 3,300m/10890 ft. Trek: 5-6 hrs. Meal: BLD)
Day 07: Trek Pisang to Manang (Altitude: 3,540 m/ 11680 ft. Trek: 5-6 hrs. Meal: BLD)
Day 08: Acclimatization day at Manang village (Altitude: 3,540 m/ 11680 ft. Meal: BLD)
Day 09: Trek Manang to Yak Kharka (Altitude: 4,000 m/ 13200 ft. Trek: 5-6 hrs. Meal: BLD)
Day 10: Trek Yak Kharka to Thorong Phedi (Altitude: 4,450 m/ 14685 ft. Trek: 5-6 hrs. Meal: BLD)
Day 11: Trek to Muktinath via Thorung La pass (Altitude: Thorung-la Pass: 5416 m/ 17873 ft. Muktinath: 3800 m/12540 ft. Trek: 7-8 hrs. Meal: BLD)
Day 12: Trek to Jomsom (Altitude: 2720 m/ 8976 ft. Trek: 5-6 hrs. Meal: BLD)
Day 13: Fly to Pokhara (Altitude: 823m/2,700ft Flight: 20 minutes Meal: B)
Day 14: Drive to Kathmandu (Altitude: 1350/4428 ft. Drive: 5-6 hrs. Meal: B/D)
Day 15: Depart Kathmandu (Altitude: 1350/4428 ft. Meal: B)
Day 1: Arrive to Kathmandu & transfer to hotel (Altitude: 1350/4428 ft. Meal: Dinner)+
The first view of Nepal from the window of your plane could be a lifetime memorable view as the clear wide and white range of Himalayas shine straight in-front of your eyes. The ecstatic beauty is so rare that you won’t be able to blink your eyes. Welcome to Nepal; a large heaven within this small planet Earth. As you step out of the airport our representative and a driver will receive you with a pleasant smiling welcome. Then, you will be escorted to hotel and take complete care in processing your check-in into the hotel. Evening, we, Hiking Nepal team will offer you a welcome dinner at authentic restaurant serving Nepalese cuisine with cultural dance show.
Day 2: Drive Kathmandu to Syange via Besisahar (Altitude: 1100 m/3630 ft. Drive: 6/7 hrs. Distance: 205km Meal: BLD)+
After breakfast, you will check-out from hotel to drive to Syange. You will drive along the snaky Prithivi Highway until Dumre followed by a bumpy ride beyond Dumre. After a long drive via Besisahar, you will arrive at Syange. Upon arrival at Syange, savor the stunning snow-capped views of Himalayas. Spend overnight at local lodge.
Day 3: Trek Syange to Tal Village (Altitude: 1675m/5494ft. Trek: 6 -7 hrs. Meal: BLD)+
Today is the beginning of trekking. Treading along the woodlands of ACAP and savoring the magnificence of Marsyangdi River Valley, you will arrive to Tal. Today’s trek comprises crossing over Marsyangdi River on a suspension bridge quite a few times and the cultural encounter at Jagat is worthwhile watching. The views of cascading waterfalls and Himalayan peaks like Mt. Lamjung (22,291Ft.), Manaslu (26,760 Ft.) and Peak 29 (24,652 Ft.) are tremendous rewards of today’s trek.
Day 4: Trek Tal Village to Timang (Altitude: 1943 m/6412 ft. Trek: 5-6 hrs. Meal: BLD)+
The whole day trek is wonderful. The landscapes dominated by lush vegetation, rivers, and mountains are refreshing. The cultural aspects during today’s trek are so fascinating. During 5-6 hrs trek we walk through wonderful culturally rich villages like Kharte, Dharapani, Bagarchhap and Danaque before we arrive to Timang for the overnight stay.
Day 5: Trek Timang to Chame (Altitude: 2,630 m/8679 ft. Trek: 5-6 hrs. Meal: BLD)+
The trail ascends to Tyanja at 2,360m, then traverses through forest, on a ridge above the river to Kopar 2,590m. After five hours of pleasant trek we arrive to Chame, the headquarters of the Manang district. At Chame, the view of Annapurna II and its closer proximity is overwhelming. You can also enjoy bathing in small hot springs in the neighborhood. The reward of today’s trek is when you explore Tibetan culture as the highland settlements belong to Tibetans who migrated centuries ago.
Day 6: Trek Chame to Pisang (Altitude: 3,300m/10890 ft. Trek: 5-6 hrs. Meal: BLD)+
Today, you will have a steep walk through dense forest into a narrowed valley. Crossing the raging Himalayan River at two points 2,910m & 3,040m are absolute highlights of the trek. Just crossing a suspension bridge at 3040m, the stunning view of Rocky Hill Paungda Danda feasts catch by the eyes. Beyond here, the course connects towards Pisang on a steep trail. Pisang, nestles between 3,200m and 3,300meters.
Day 7: Trek Pisang to Manang (Altitude: 3,540 m/ 11680 ft. Trek: 5-6 hrs. Meal: BLD)+
After breakfast, you will walk through the arid & higher region of Manang. As you trek higher, the region affected being at the rain shadow of Annapurna comes into sight. Natives of this county flock yaks most of the times of the year and cultivate crops for a very short period of the year. As you leave Pisang, you will tread along the northern via Ghyaru for the better views of the Himalayan peaks throughout the trail that chases along the northern bank of the river. Now, you will arrive to Munchi. Beyond Munchi, the trail passes the charming and the authentic village of Braga 3475m. The last push brings to Manang.
Day 8: Acclimatization day at Manang village (Altitude: 3,540 m/ 11680 ft. Meal: BLD)+
Today, a time for rest and acclimatize properly with altitude. However, it does not mean that you have to spend time by staying at lodge and read books. You can go for short walks to higher altitude around the village where you can witness more of raw nature of the region. Your guide is the best man to take you to the best destination.
Day 9: Trek Manang to Yak Kharka (Altitude: 4,000 m/ 13200 ft. Trek: 5-6 hrs. Meal: BLD)+
Today, you will trek to higher altitude. After a day rest in Manang, you will not have acclimatization issue. However, gaining 500 m height trekking along the gradual uphill climb is quite an adventure. As the trek begins, you will croesses a stream, climbs to a village of Tenki and continue to ascend the Marsyangdi Valley, turning northwest up the valley of Jarsang Khola. You will further passess the small village of Ghunsa and following the trail through the meadows. Here, you can see the horses and yaks grazing. Crossing a wooden suspension bridge, you will encounters series of mani wall, eventually, you reach Yak Kharka at 4,000m. Yak Kharka is the yak graze land and hence signs of yak herders and thin vegetation can be seen there. Overnight at Yak Kharka.
Day 10: Trek Yak Kharka to Thorong Phedi (Altitude: 4,450 m/ 14685 ft. Trek: 5-6 hrs. Meal: BLD)+
Today, you will walk uphill to the Thorang Phedi. Walking for a while in an easy trail, you will sross a suspension bridge leading you towards Ledar village. Then, slightly ascend and passing through towering cliffs, you will reach at Thorang Phedi. It is the last village before Thorang-la Pass. During the trail, you can click the views of Mt. Gundang, Thorang Peak, Mt. Syangang and Mt. Khatungkan. Overnight in Thorang Phedi.
Day 11: Trek to Muktinath via Thorung La pass (Altitude: Thorung-la Pass: 5416 m/ 17873 ft. Muktinath: 3800 m/12540 ft. Trek: 7-8 hrs. Meal: BLD)+
Here comes most exciting and adventurous time as you are going to cross the world’s largest pass- The Thorong-la pass. Hence, today’s trek will be lengthy, you will starts trek early. Five hours of steep strenuous walk from the camp at Thorung Phedi brings you to the top of Thorung La Pass 5416m. The regular course to Thorung La Pass seems easy. However, a number of difficulties might encounter due to the elevation and snow. Getting up to the pass may be tough but the acme of the pass marked by revered chortens and colorful prayer flags will reward you with the most eye-catching views of Himalayas that include Annapurna at its best.
Day 12: Trek to Jomsom (Altitude: 2720 m/ 8976 ft. Trek: 5-6 hrs. Meal: BLD)+
You will descent through the Kali Gandaki Valley to Jomsom, the windy city & the home to the apple orchard of Nepal. Coming down hill, you always have to be cautious and not be excited to reach the destination. Spend overnight at local lodge.
Day 13: Fly to Pokhara (Altitude: 823m/2,700ft Flight: 20 minutes Meal: B)+
From the windy city Jomsom and you will take a flight back to Pokhara. Leaving the tranquil isolation, as you land at Pokhara, you will be once again transferred to your hotel in the city. Rest of the time at your own.
Day 14: Drive to Kathmandu (Altitude: 1350/4428 ft. Drive: 5-6 hrs. Meal: B/D)+
While driving back to Kathmandu the 1st half of the trip is along the highway above Seti and Marsyandi Rivers and the latter half winds along Trisuli River. Green hills along the spiral roads, stopping in between for snacks (fish) are the trip highlights. Upon arriving at Kathmandu, you will be transferred to the hotel in the city. Take your time for refreshment. Evening, we, Hiking Nepal team, invite you for a dinner. Give us chance to make your evening a wonderful time.
Day 15: Depart Kathmandu (Altitude: 1350/4428 ft. Meal: B)+
Our tour officer will pick you up from your hotel three hours prior to your departure time. You will be escorted in a private vehicle to the airport for your final departure. Have a safe flight home.
What is included?
Airport transfer by Hiking Nepal office representative in a private vehicle
Welcome Dinner at Typical Nepalese Restaurant with cultural dance show
Farewell Dinner at the finest restaurant in Thamel Kathmandu
2 Nights’ accommodation at Tourist Standard Hotel in Kathmandu with breakfast on a sharing basis
11 Nights’ accommodation at well and comfortable Mountain Lodge available en-route during trek (Few nights’ at during trek with attached bathroom/toilets)
1 Night’s accommodation at 3-star Hotel in Pokhara with breakfast on a sharing basis
Full board meal during trek (Breakfast, Lunch, Dinner, tea & coffee, seasonal fruits, chocolate/s & biscuits)
English speaking, First Aid and Eco-trained local trekking guide, Assistance guide as per the group size, porters (2:1)
All the expenses for guide and porters along with Insurance
Domestic Airfare and Tax for the sector Jomsom/Pokhara
Kathmandu/Besisahar/ Syange drive in a public sharing vehicle
Pokhara to Kathmandu transfer in a tourist sharing vehicle
Annapurna Conservation Area Project (ACAP) fee
Exclusive medical kit bag, Duffle Bag, Trekking T-shirt, Adventure Certificate
Sleeping Bag and Down Jacket during Trek
All government and local taxes as applicable
What is not included?
Nepal Visa – (Cost- US$- 30 for 15 days & $- 50 for 30 days)
Lunch & evening meals while in Kathmandu and Pokhara (Except welcome/farewell dinner)
Travel insurance
Cost of personal nature expenses, Beverages (Mineral water or coca cola), cost of extra meals, snacks, phones bills, Internet, WiFi, laundry etc.
Cost incurred during the emergency, evacuations
Tips for Guide/porters/driver …
Anything other than not mentioned in “Service Includes”
Nepal Visa & Getting in to Nepal
All the foreign nationals (except Indian nationals) are required to display Visa while entering Nepal. Nepalese Visa can be obtained either at Nepalese Embassy of respective country or can be obtained during your arrival at the International Airport in Kathmandu or from the Nepal’s border entry point. However, certain nationals are requested to arrange Visa prior to arrival in Nepal. The listed countries are- Afghanistan, Iraq, Cameroon, Ghana, Somalia, Swaziland, Palestine, Zimbabwe, Nigeria, Ethiopia and Liberia and cannot secure Nepalese Visa on arrival.
Requirements: Traveler should have a valid passport for at least six months, recent digital photos (size: 1.5″ x 1.5″) and Visa fees (either US$ or equivalent) mentioned as below:
Visa Facility Duration Fee
Multiple entry 15 days US$ 30 or equivalent Nepalese currency
Multiple entry 30 days US$ 50 or equivalent Nepalese currency
Multiple entry 90 days US$ 125 or equivalent Nepalese currency
You can also download VISA form and fill up. Please go through the link as below:
http://www.online.nepalimmigration.gov.np/tourist-visa
Group Size:
For group, we normally run with minimum 2 person to maximum 10 in our published group departure program. However, there is no barrier for a private trip. We can run a trip for single person and even more than 10 in a group. Normally for a group, we provide 1 main guide, 1 assistance guide along with 1 porter for every 2 trekkers. Moreover, for every additional 2 trekkers, 1 more assistance and a porter will be provided making a team combination as follows:
Minimum to 2 PAX: 1 Guide and 1 porter
4-6 PAX: 1 guide, 1 assistance guide and 3 porter
7-10 PAX: 1 guide, 2 assistance guide and 4/5 Porter
Guide and Trip Safety
Once, you confirm your trip, it is our responsibility to make your trip wonderful without creating any difficulties. Hence, we have prepared our itinerary in such a way that it will properly acclimatize you. Also, we request you in advance to have regular exercises and make habits to walk in a daily basis. Similarly, during trek, you will be fully guided by our professional trekking guides and supporting team. They are properly trained in regards to safety and first aid. Even, we have every set up in case of emergency such as high altitude medicine and Gammow Bag (High altitude Chamber bag). Please note High altitude Chamber Bag is used to provide heat in your body and it is available on certain cost. Moreover, to let you familiar with altitude, you are suggested to walk slow and steady and ensure for proper acclimatization.
For trekking, we provide local experienced guide speaking fluent English and familiar with the local routes, landscape, flora, fauna as well as culture, and tradition of certain areas and let you feel comfortable. We do not encourage for child labor, hence, our porter will be above 16 years that are living in the Himalayas of Nepal; as well as carries only 20-22 kg weight per porter. Normally, the guide and support teams are selected with proper analyzing of their experience, leadership skills and personal aptitude. Our guides are well familiar with different societies of all caste and customs along the trail and share the insight culture with you that are not even noted in guide book.
To make our staffs more fluent and experienced, we consistently provide trainings. They have been participating in special training programs like Trekking guide training, Rock climbing, Ice climbing, Intensive Wilderness first Aid and many more that has been certified and approved by Nepal Government.
Meals and Accommodation
During your stay in Kathmandu, we accommodate you in 3 star category hotel in a comfortable and relaxing environment. Breakfast is included with room accommodation. Normally, based on your group size, you will be accommodated in twin and triple sharing basis. Likewise, in case of single room stay in a group, you will require to pay single supplement charge mentioned in our trip cost. Also, if you wish to upgrade hotel accommodation, we can accommodate you in respective hotels with surcharge. On your arrival in Kathmandu and a day before your departure for homeland, we Hiking Nepal Team will invite you for Welcome and Farewell dinner. You will be taken to an authentic restaurant serving Nepali Cuisine with some cultural Dance Show. For your other day’s meals, you can get hygienic restaurants providing verities of taste including continental, Chinese, Italian, Nepalese and many more.
Similarly, for your stay during trek, we shall accommodate you in local lodge available en-route. Normally, the rooms are basic and in a twin sharing basis. Some lodges offer shower system and hot water.
For meals, you will be served sufficient hygienic food. Our service includes a full board meals (Breakfast, Lunch, Dinner and Tea/Coffee) based on lodge menu. Normally, for breakfast; porridge, cereals, toast or chapattis, omelets and a range of hot drinks are served. Likewise for Lunch and Dinner; you can taste some Nepalese food (esp. rice, lentils and curry), Sherpa food, Indian food, Italian Spaghetti, noodles, potatoes, even Pizza in some areas. It is obvious that you will receive fresh and organic food in the Himalayas of Nepal. Your breakfast and dinner will be served in lodge where you stay and lunch on the way during trek.
Travel Insurance
While travelling to Nepal, you are requested to have a travel insurance that should cover any comprehensive expenses possible to acquire due to medical issues or accidents. Especially, your travel insurance must protect air ambulance, treatment charges, rescue and evacuation, product cancellation and refundable charges, flight delay and cancellations. We suggest you to bring you travel insurance certificate or send us scan copy and required to issue from your home land and we do not arrange or sell insurance.
Travelling in the Himalayas is full of adventurous; hence it is wise to choose a proper insurance policy. While choosing your insurance policy, make sure that it will protect all such unforeseen expenses. Your insurer should be well familiar with our itinerary that you have booked and must have agreed to cover all activities being undertaken during trip. Meantime, it is not compulsory that our all the assigned trip are facilities with Heli-rescue. You will not require heli rescue insurance for Tibet Tour as it is not possible to provide such facility.
Vaccination
It is better to follow the precaution given by World Health Organization and other international health related institutions that recommend having vaccines before travelling Nepal to prevent from certain fatal illness. If possible, we suggest you to bring your medical certificate however, it is not required to show but for safety. The recommended vaccines are polio, Diphtheria, Tetanus, typhoid, yellow fever, hepatitis A/B, Influenza (Flu), Japanese encephalitis, and Tuberculosis. Meantime, it is better to consult your professional doctor about your travel and he might recommend you properly. You can also take suggestion of local travelers who have travelled Nepal before and know more about the required precautions. Please note that the protection that can be gained from vaccines varies from 50% to almost 100%. So remember that even if you have taken a vaccine you might still get the disease, although you will have greatly reduced your chances of getting ill.
Guide and Trip Safety
Once, you confirm your trip, it is our responsibility to make your trip wonderful without creating any difficulties. Hence, we have prepared our itinerary in such a way that it will properly acclimatize you. Also, we request you in advance to have regular exercises and make habits to walk in a daily basis. Similarly, during trek, you will be fully guided by our professional trekking guides and supporting team. They are properly trained in regards to safety and first aid. Even, we have every set up in case of emergency such as high altitude medicine and Gammow Bag (High altitude Chamber bag)- will charge additional cost. Please note High altitude Chamber Bag is used to provide heat in your body and it is available on certain cost. Moreover, to let you familiar with altitude, you are suggested to walk slow and steady and ensure for proper acclimatization.
For trekking, we provide local experienced guide speaking fluent English and familiar with the local routes, landscape, flora, fauna as well as culture, and tradition of certain areas and let you feel comfortable. We do not encourage for child labor, hence, our porter will be above 16 years that are living in the Himalayas of Nepal; as well as carries only 20-22 kg weight per porter. Normally, the guide and support teams are selected with proper analyzing of their experience, leadership skills and personal aptitude. Our guides are well familiar with different societies of all caste and customs along the trail and share the insight culture with you that are not even noted in guide book. To make our staffs more fluent and experienced, we consistently provide trainings. They have been participating in special training programs like Trekking guide training, Rock climbing, Ice climbing, Intensive Wilderness first Aid and many more that has been certified and approved by Nepal Government.
Health and Fitness
While Trekking in the Himalayas of Nepal, you will be hiking up in high altitude, hence slow and steady is main concern which helps you to acclimatize properly with the altitude. During trekking, you will required to walk for 5-6 hours in average. If you are planning to trek in Nepal, make sure that you are in good shape and fitness, and consult your doctor or general physicians about your health. You should be physically and mentally prepared. Before commencing a trek, we recommend you to do some regular exercises, make habits to use stairs than elevator that makes your knees strong, and, if possible, join some aerobics, gyms and make sure about your good health. If you are used to with these habits, you will definitely walk in the Himalayas of Nepal. Sincere preparation and strong determination for the trip is very important making your trip a wonderful memory of your life. It is not compulsory to have any previous experience. Follow the guidance and enjoy the trip.
High Altitude Sickness
At the higher altitude, you will feel a decrease in availability of oxygen and shorten in oxygen cause an altitude sickness. If a person walk in the high altitude particularly climbs up too quickly, he might suffer from High altitude sickness. Hence, proper rest is required at that altitude. You can cure at right time knowing certain symptoms of Altitude Sickness. Common symptoms are headache, loss of appetite, tiredness and nausea, vomiting, dizziness and difficulty in sleeping. The best remedies that local belief and take is taking garlic, or ginger in mouth. Eat dry food and take liquid as much as possible. We recommend Diamox if there is no any options. Also, we provide experienced guide and staffs in dealing with the effects of higher altitudes. As they are natives of Nepal, they easily acclimatize and therefore can care for their clients. They are equipped with necessary medical supplies and will assist with basic first aid treatment. We design our tours to ensure clients are ready for high altitude, and arrange alternative itineraries for those at risk.
Acclimatization
While, trekking in the Himalayas, you will walk in the Ups down trail taking you to the elevation over 2500 m. Hence, you might feel difficult to breathe or your breathe speed up. Hence, it is most important to familiarize with the altitude and let you adjust with the decreased availability of oxygen at high altitude. Our itinerary is designed with sufficient days to acclimatize. In case of gaining certain height, there is a rest day when you can explore the area as well as walk to high altitude and sleep at low land. Likewise, you are suggested to walk slowly and carefully without getting any stresses. Also, for proper acclimatization, you should care about your eating habits. Don’t focus on Junk food and eat as much liquid as possible. Hard drinks are not recommended. The right way to acclimatize properly is walk high, sleep low.
Diamox (Acetazolamide)
Diamox, a mostly recognized drugs for altitude sickness prevention and treatment. It allows you to breathe faster so that you metabolize more oxygen, thereby minimizing the symptoms caused by poor oxygenation. This is especially helpful at night when respiratory drive is decreased. While using a Diamox, it is advisable to start taking it 24 hours before you go to altitude and continue for at least five days at higher altitude. The recommendation of the Himalayan Rescue Association Medical Clinic is 125 mg. twice a day (morning and night). (The standard dose was 250 mg. but their research showed no difference for most people with the lower dose, although some individuals may need 250 mg.) Possible side effects include tingling of the lips and finger tips, blurring of vision, and alteration of taste. These side effects may be reduced with the 125 mg. dose. Side effects subside when the drug is stopped. It is more appropriate to contact your physician for a prescription. Since Diamox is a sulfonamide drug, people who are allergic to sulfa drugs should not take Diamox. Diamox has also been known to cause severe allergic reactions to people with no previous history of Diamox or sulfa allergies. Frank Hubbell of SOLO recommends a trial course of the drug before going to a remote location where a severe allergic reaction could prove difficult to treat.
Highly recommended to take a trial course before going to a remote location where a severe allergic reaction could prove difficult to treat if it occurred.
Alternative Drugs:
Dexamethasone (a steroid) is also a prescribed drug that decreases brain and other swelling reversing the effects of AMS. The dose is typically 4 mg twice a day for a few days starting with the ascent. This prevents most of the symptoms of altitude illness from developing.
ADVICE:
Dexamethasone is a powerful drug and should be used with caution and only on the advice of a physician and should only be used to aid acclimatization by sufficiently qualified persons or those with the necessary experience of its use.
NOTE:
It is more advisable to take drugs taking proper suggestions from Personal Physicians and in case if there is no any options. In the Himalayas of Nepal, the mountain dwellers believe in taking some garlic or ginger along with Red Pepper to produce heat for fast breathings.
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