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You donâÂÂt have to climb a mountain to experience the woes of elevation. Plenty of favorite travel spots perch on high, such as Cusco, Peru, at 11,152 feet, and Leh, India, at 11,550 feet. At altitude, thereâÂÂs less oxygen in the air, which can leave you gasping for breath just trying to walk up a street. (Discover nine mountains to summit in a lifetime.) What exactly is happening to the body? âÂÂFirst it increases breathing, which can feel like a shortness of breath,â says Peter Hackett, director of the Institute for Altitude Medicine in Colorado. âÂÂSecond the blood vessels in the brain expand, so that thereâÂÂs more blood and therefore more oxygen. That gives the sensation of a headache.â Symptoms of acute mountain sickness, or AMS as itâÂÂs known, include trouble sleeping, nausea, loss of appetite, and fatigue. If you keep going higher and ignore signals from your body, you could develop HAPE, high altitude pulmonary edema, or HACE, high altitude cerebral edema, both of which are very serious. All that said, some of the best views on Earth are seen from up high. The key to your success? Go up slowly. Ascending over two or three days, if possible, and using these tips will help you feel good at the top.