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Only the essentials for the day: Water (23 liters) Snacks (dried fruit, chocolate, cookies) Camera or phone Extra jacket, hat, gloves Personal documents Trekking poles (recommended) Everything else (tents, food, sleeping bag) is carried by the pack horses

There are also multiple locations on your body that can be used as a B12 injection site

Other serious side effects may include worsening heart failure and kidney problems