u/shaunQd

I'm planning a dream trip to Machu Picchu (mid-50s). My partner is a long-term smoker, and we're genuinely worried about the altitude (Cusco 11,000 ft, Machu Picchu ~8,000 ft).

Looking for honest answers from locals and travelers:

1. Do smokers clearly struggle more than non-smokers at this altitude?
2. Have you seen someone have to turn back or need medical help?
3. Is this realistically safe for a smoker in their 50s?
4. What would you insist they do before going (doctor, meds, tests)?

We will acclimatize properly and see a doctor. Just want real-world stories – good or bad. Please be honest.

Thank you.