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Annapurna Circuit Trek Elevation: The Complete 2026 Guide
- Start walking from Besisahar or Tal rather than driving further up the valley, since those lower stages are your body's warm up
- Aim for three to four liters of water a day once above 3,000m, and skip alcohol, which works against acclimatization
- Treat rest days as active acclimatization hikes, not lazy mornings in a teahouse
- Plan to leave for Thorong La before 5:00am
- Ask your doctor about Diamox before you travel if you want the option, understanding it supports acclimatization rather than replacing it
- Confirm your travel insurance covers helicopter evacuation above 5,000m
- Avoid a heavy meal the night before crossing the pass, since it can disrupt sleep and add to nausea the next morning
- Build months of aerobic training beforehand, including loaded uphill hikes and stair climbing, so your body is carrying less overall stress load once altitude adds its own.
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