A few years ago I asked my new physian for some and referenced the fact that I was on search and rescue and might go from essentually sea level to ten thousand feet in a matter of minutes if being taken up by helecopter. He declined to do so sighting its effects would take a day or two to begin working and that they wouldn't do anything for me for 24-48 hours
that you said was outdated and the 2006 reference I cited from. I asked him to check again.sighting its effects would take a day or two to begin working and that it wouldn't do anything for me for 24-48 hours
again this sounds like a day or two (maybe less) might be the time to start taking it but, for some, maybe they might still need to take it several days before and then increase the dose for it to be effective. I am not a physician and I would recommend that anyone considering taking it consult their physician. But thanks for rechecking your source.you may not need to take it several days before starting your climb, as is sometimes advised".
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