{"id":16370,"date":"2026-05-19T17:16:05","date_gmt":"2026-05-19T15:16:05","guid":{"rendered":"https:\/\/turismoliberty.pe\/12\/"},"modified":"2026-05-20T20:30:38","modified_gmt":"2026-05-20T18:30:38","slug":"altitude-sickness-puno-2026-symptoms-remedies-acclimatize","status":"publish","type":"post","link":"https:\/\/turismoliberty.pe\/en\/altitude-sickness-puno-2026-symptoms-remedies-acclimatize\/","title":{"rendered":"Altitude Sickness in Puno 2026: Symptoms, Remedies &amp; How to Acclimatize"},"content":{"rendered":"\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1\">\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"Article\",\n  \"headline\": \"Altitude Sickness in Puno 2026: Symptoms, Remedies & How to Acclimatize\",\n  \"description\": \"Altitude sickness in Puno 2026 at 3,827 m.a.s.l.: real symptoms, remedies and acclimatization tips. Complete guide + Lake Titicaca tours from $55. Book with Turismo Liberty.\",\n  \"author\": { \"@type\": \"Organization\", \"name\": \"Turismo Liberty\" },\n  \"publisher\": { \"@type\": \"Organization\", \"name\": \"Turismo Liberty\", \"url\": \"https:\/\/turismoliberty.pe\" },\n  \"datePublished\": \"2026-05-19\",\n  \"dateModified\": \"2026-05-19\"\n}\n<\/script>\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"How long does it take to acclimatize in Puno?\",\n      \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Most travelers need between 24 and 48 hours to acclimatize in Puno at 3,827 m.a.s.l. The first day is the most critical: altitude sickness symptoms usually appear within the first 6 to 12 hours. With rest, hydration and coca tea, most travelers feel well by the second day. If you arrive directly from sea level (or from Lima), the process may be more intense than if you make a prior stopover in Arequipa (2,335 m.a.s.l.).\" }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is altitude sickness and what are its symptoms?\",\n      \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Altitude sickness (AMS \u2014 Acute Mountain Sickness), known as soroche in the Andes, occurs when the body does not receive enough oxygen after ascending rapidly to high altitude. The most common symptoms in Puno are: headache (the most frequent symptom), nausea or vomiting, extreme fatigue, dizziness, shortness of breath with minimal effort, and insomnia. Symptoms typically appear between 1 and 12 hours after arriving at altitude.\" }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Does coca tea help with altitude sickness in Puno?\",\n      \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Coca tea is the most widespread traditional remedy in the Andes and many travelers report relief from mild soroche symptoms after drinking it. It contains alkaloids that may help improve oxygenation and reduce headaches. However, it is not a substitute for acetazolamide or medical measures in severe cases. In Puno it is offered at all hotels: drink it hot, without sugar, from the moment you arrive.\" }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Should I take acetazolamide (Diamox) before going to Puno?\",\n      \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Acetazolamide (trade name Diamox) is the most effective medication for preventing and treating altitude sickness. The usual preventive dose is 125\u2013250 mg every 12 hours, starting 24 hours before ascending to altitude. However, it has contraindications (sulfonamide allergy, pregnancy, kidney problems) and side effects (tingling in hands, frequent urination). Always consult your doctor before taking it. In Puno it is sold in pharmacies without a prescription, but self-medication without prior consultation is not recommended.\" }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Can I do the Sillustani tour with altitude sickness?\",\n      \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"The Sillustani Chullpas are at 3,850 m.a.s.l. \u2014 slightly above Puno. If you have mild soroche symptoms such as a moderate headache, the tour is possible with caution: walk slowly, stay well hydrated, and avoid exertion. If you have nausea, severe dizziness or difficulty breathing, wait until the next day. Turismo Liberty includes rest periods in the Sillustani itinerary specifically to help guests adapt to the altitude.\" }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Is it advisable to descend to Arequipa if altitude sickness is very severe?\",\n      \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"If symptoms are severe \u2014 intense breathing difficulty, confusion, persistent vomiting, or a headache that does not improve with ibuprofen or rest \u2014 yes: descending is the most effective measure. Dropping just 500\u20131,000 meters produces noticeable improvement within a few hours. Arequipa at 2,335 m.a.s.l. is the most practical descent destination from Puno. In cases of mild to moderate symptoms, most travelers overcome soroche in Puno within 24\u201348 hours without needing to descend.\" }\n    }\n  ]\n}\n<\/script>\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"ImageObject\",\n  \"url\": \"https:\/\/turismoliberty.pe\/wp-content\/uploads\/2026\/04\/tour-isla-de-los-uros-puno-1.webp\",\n  \"width\": 1200,\n  \"height\": 630,\n  \"name\": \"Altitude Sickness in Puno 2026 \u2014 Turismo Liberty\",\n  \"description\": \"Lake Titicaca and the Floating Islands of the Uros in Puno, Peru \u2014 complete guide to managing soroche at 3,827 m.a.s.l. with Turismo Liberty\"\n}\n<\/script>\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"TouristAttraction\",\n  \"name\": \"Lake Titicaca \u2014 Puno, Peru\",\n  \"description\": \"Lake Titicaca at 3,827 m.a.s.l. is the highest navigable lake in the world, home to the Floating Islands of the Uros, Amantan\u00ed Island and the Chullpas of Sillustani on the shores of the Peruvian altiplano.\",\n  \"url\": \"https:\/\/turismoliberty.pe\",\n  \"touristType\": \"Adventure, Cultural\",\n  \"address\": {\n    \"@type\": \"PostalAddress\",\n    \"addressCountry\": \"PE\",\n    \"addressRegion\": \"Puno\"\n  },\n  \"geo\": {\n    \"@type\": \"GeoCoordinates\",\n    \"latitude\": -15.8402,\n    \"longitude\": -70.0219\n  }\n}\n<\/script>\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"TouristTrip\",\n  \"name\": \"Chullpas of Sillustani \u2014 History and Mystery on the Peruvian Altiplano\",\n  \"description\": \"Tour to the pre-Inca funerary towers of Sillustani from Puno, on the shores of Laguna Umayo at 3,850 m.a.s.l. 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align-items: center; gap: 8px; flex: 1; min-width: 0; }\n.sb-dot { width: 7px; height: 7px; border-radius: 50%; background: #25D366; flex-shrink: 0; box-shadow: 0 0 6px rgba(37,211,102,0.6); }\n.sb-text { font-size: 12.5px; color: rgba(255,255,255,0.92); line-height: 1.3; white-space: nowrap; overflow: hidden; text-overflow: ellipsis; }\n.sb-text strong { color: #fff; font-weight: 700; }\n.sb-btn { background: #25D366; color: white; font-size: 11.5px; font-weight: 700; padding: 6px 14px; border-radius: 50px; white-space: nowrap; flex-shrink: 0; text-decoration: none; }\n@media(max-width: 600px) { .sb-text { font-size: 11px; } .sb-btn { font-size: 10.5px; padding: 5px 10px; } }\n<\/style>\n\n<!-- Sticky bar -->\n<div class=\"sticky-bar\">\n  <div class=\"sb-left\">\n    <div class=\"sb-dot\"><\/div>\n    <span class=\"sb-text\"><strong>Travel to Puno with a specialist altitude guide<\/strong> \u2014 Sillustani &amp; Lake Titicaca from $55 \u00b7 spots available this week<\/span>\n  <\/div>\n  <a class=\"sb-btn\" href=\"https:\/\/wa.me\/51959175901?text=Hello%2C%20I%27d%20like%20to%20check%20availability%20for%20the%20Puno%20and%20Sillustani%20tour%202026\" target=\"_blank\">Check availability \u2192<\/a>\n<\/div>\n\n<!-- Floating WhatsApp popup -->\n<div id=\"wa-widget\">\n  <div id=\"wa-popup\">\n    <div class=\"wa-p-header\">\n      <div class=\"wa-p-avatar\">\n        <img decoding=\"async\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/6\/6b\/WhatsApp.svg\" width=\"38\" height=\"38\" alt=\"WhatsApp\" style=\"width:38px;height:38px;display:block;\">\n      <\/div>\n      <div class=\"wa-p-info\">\n        <div class=\"wa-p-name\">Turismo Liberty<\/div>\n        <div class=\"wa-p-status\"><span class=\"wa-p-dot\"><\/span>Online now<\/div>\n      <\/div>\n      <button class=\"wa-p-close\" id=\"wa-close\" aria-label=\"Close\">&#x2715;<\/button>\n    <\/div>\n    <div class=\"wa-p-body\">\n      <div class=\"wa-p-bubble\">Hi! \ud83d\udc4b Planning to visit <strong>Puno or Lake Titicaca<\/strong>? We&#8217;ll help you with your itinerary and tips on managing altitude. How many people and what dates are you thinking?<\/div>\n      <div class=\"wa-p-time\">now<\/div>\n    <\/div>\n    <div class=\"wa-p-footer\">\n      <a href=\"https:\/\/wa.me\/51959175901?text=Hello%2C%20I%27d%20like%20information%20about%20tours%20to%20Puno%20and%20Lake%20Titicaca%202026\" target=\"_blank\" class=\"wa-p-cta\">\n        <img decoding=\"async\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/6\/6b\/WhatsApp.svg\" width=\"20\" height=\"20\" alt=\"WhatsApp\" style=\"width:20px;height:20px;flex-shrink:0;display:block;\">\n        Start conversation\n      <\/a>\n      <div class=\"wa-p-cta-sub\">We reply in under 5 minutes<\/div>\n    <\/div>\n  <\/div>\n  <button id=\"wa-fab\" aria-label=\"Open WhatsApp\">\n    <span id=\"wa-badge\">1<\/span>\n  <\/button>\n<\/div>\n\n<div class=\"layout\">\n  <nav class=\"toc-sidebar\" aria-label=\"Contents\">\n    <div class=\"toc-box\">\n      <div class=\"toc-title\">\u2630 In this guide<\/div>\n      <ul class=\"toc-list\">\n        <li><a href=\"#what-is\" class=\"active\">\ud83c\udfd4\ufe0f What is altitude sickness?<\/a><\/li>\n        <li><a href=\"#symptoms\">\ud83e\udd12 Symptoms of soroche in Puno<\/a><\/li>\n        <li><a href=\"#remedies\">\ud83d\udc8a Remedies &amp; prevention<\/a><\/li>\n        <li><a href=\"#acclimatization\">\ud83d\uddd3\ufe0f Step-by-step acclimatization plan<\/a><\/li>\n        <li><a href=\"#tours\">\ud83d\ude8c Tours &amp; altitude: what to do when<\/a><\/li>\n        <li><a href=\"#comparison\">\u2696\ufe0f Acetazolamide vs coca tea<\/a><\/li>\n        <li><a href=\"#packing\">\ud83c\udf92 What to pack for altitude<\/a><\/li>\n        <li><a href=\"#faq\">\u2753 Frequently asked questions<\/a><\/li>\n      <\/ul>\n\n      <a href=\"https:\/\/wa.me\/51959175901?text=Hello%2C%20I%27d%20like%20to%20plan%20my%20trip%20to%20Puno%20and%20Lake%20Titicaca%202026\" target=\"_blank\" class=\"wa-btn\">\n        <span class=\"wa-icon\">\n          <img decoding=\"async\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/6\/6b\/WhatsApp.svg\" width=\"58\" height=\"58\" alt=\"WhatsApp\" style=\"width:58px;height:58px;display:block;\">\n        <\/span>\n        <span class=\"wa-text\">\n          <span class=\"wa-text-main\">Plan your trip now<\/span>\n          <span class=\"wa-text-sub\">Agent available <span class=\"dots\"><span><\/span><span><\/span><span><\/span><\/span><\/span>\n        <\/span>\n      <\/a>\n\n      <div class=\"toc-tours\">\n        <div class=\"toc-tours-title\">\ud83d\uddd3\ufe0f Departures this week<\/div>\n        <a href=\"https:\/\/turismoliberty.pe\/en\/trip\/chullpas-of-sillustani-history-and-mystery-in-the-peruvian-altiplano\/\" target=\"_blank\" class=\"toc-tour-card\">\n          <img decoding=\"async\" src=\"https:\/\/turismoliberty.pe\/wp-content\/uploads\/2026\/04\/tour-chullpas-de-sillustani-puno-1.webp\" alt=\"Sillustani Chullpas Tour Puno 2026 \u2014 Turismo Liberty\" class=\"toc-tour-card-img\">\n          <div class=\"toc-tour-card-body\">\n            <div class=\"toc-tour-card-name\">Chullpas of Sillustani<\/div>\n            <div class=\"toc-tour-card-meta\"><span class=\"toc-tour-card-badge\">From $55<\/span><\/div>\n          <\/div>\n        <\/a>\n        <a href=\"https:\/\/turismoliberty.pe\/destinos\/puno\/\" target=\"_blank\" class=\"toc-tour-card\">\n          <img decoding=\"async\" src=\"https:\/\/turismoliberty.pe\/wp-content\/uploads\/2026\/04\/tour-isla-de-los-uros-puno-1.webp\" alt=\"Uros Floating Islands Puno 2026 \u2014 Turismo Liberty\" class=\"toc-tour-card-img\">\n          <div class=\"toc-tour-card-body\">\n            <div class=\"toc-tour-card-name\">Uros Floating Islands<\/div>\n            <div class=\"toc-tour-card-meta\"><span class=\"toc-tour-card-badge\">Ask for price<\/span><\/div>\n          <\/div>\n        <\/a>\n        <a href=\"https:\/\/turismoliberty.pe\/destinos\/puno\/\" target=\"_blank\" class=\"toc-tour-card\">\n          <img decoding=\"async\" src=\"https:\/\/turismoliberty.pe\/wp-content\/uploads\/2026\/04\/tour-isla-amantani-puno-1.webp\" alt=\"Amantan\u00ed Island Puno 2026 \u2014 Turismo Liberty\" class=\"toc-tour-card-img\">\n          <div class=\"toc-tour-card-body\">\n            <div class=\"toc-tour-card-name\">Amantan\u00ed Island 2D\/1N<\/div>\n            <div class=\"toc-tour-card-meta\"><span class=\"toc-tour-card-badge\">Ask for price<\/span><\/div>\n          <\/div>\n        <\/a>\n      <\/div>\n    <\/div>\n  <\/nav>\n\n  <div class=\"content-area\">\n\n    <p><strong>Altitude sickness in Puno<\/strong> is the first reality you face when arriving in Peru&#8217;s highest city: 3,827 metres above sea level. <strong>Soroche<\/strong> does not discriminate \u2014 it affects young backpackers and seasoned mountain travelers alike \u2014 and it can ruin your first days at <strong>Lake Titicaca<\/strong> if you are not well prepared. <strong>Turismo Liberty<\/strong> has been taking travelers to Puno for years and we tell you exactly what to expect, what to take and when you can safely start your tours. Message us on WhatsApp and we&#8217;ll build an itinerary adapted to your acclimatization pace.<\/p>\n\n    <p>Puno sits at a higher altitude than the standard acclimatization point for Everest Base Camp expeditions (3,500 m). The <strong>Peruvian altiplano<\/strong> where the city stands is one of the highest permanently inhabited areas in the world. This does not mean you should avoid it \u2014 it means you need to arrive with a plan. The good news: with 48 hours of rest, hydration and <strong>coca tea<\/strong>, the vast majority of travelers adapt without issue and can fully enjoy the <strong>Uros Floating Islands<\/strong>, <strong>Amantan\u00ed Island<\/strong> and the <strong>Chullpas of Sillustani<\/strong>.<\/p>\n\n    <h2 id=\"what-is\">\ud83c\udfd4\ufe0f What Is Altitude Sickness and Why Does Puno Make It Worse?<\/h2>\n\n    <p>Altitude sickness \u2014 known medically as AMS (Acute Mountain Sickness) and as <strong>soroche<\/strong> in the Andes \u2014 occurs when the body ascends faster than it can adapt to the reduced oxygen pressure at high elevation. At 3,827 m.a.s.l., Puno&#8217;s atmospheric pressure is approximately 40% lower than at sea level: every breath delivers less oxygen to the bloodstream.<\/p>\n\n    <p>What makes Puno unique \u2014 and different from Cusco (3,400 m) or Arequipa (2,335 m) \u2014 is a combination of three factors: its already-high base altitude, the fact that most travelers arrive by air from Lima with no intermediate stop, and the tendency of visitors to want to be active immediately. Flying into <strong>Juliaca<\/strong> airport (the closest airport, at 3,824 m.a.s.l.) and boarding a bus to Puno gives the body no time to adapt. The result: soroche in 60\u201370% of travelers who arrive unprepared.<\/p>\n\n    <div class=\"tip-box\">\n      <strong>\ud83d\udca1 Turismo Liberty tip<\/strong> \u2014 If you fly into Puno from Lima, consider spending one night in <a href=\"https:\/\/turismoliberty.pe\/destinos\/arequipa\/\">Arequipa<\/a> (2,335 m.a.s.l.) first. That extra day of pre-acclimatization significantly reduces the intensity of soroche in Puno. It is the strategy we recommend to all our travelers who include Puno in their itinerary.\n    <\/div>\n\n    <h2 id=\"symptoms\">\ud83e\udd12 Altitude Sickness Symptoms in Puno: How to Recognize Them<\/h2>\n\n    <p>Symptoms of altitude sickness in Puno typically appear between 1 and 12 hours after arrival. Most travelers notice them on the first night. Knowing them in advance avoids panic and allows you to take the right steps:<\/p>\n\n    <table>\n      <thead>\n        <tr>\n          <th>Symptom<\/th>\n          <th>Frequency<\/th>\n          <th>Typical intensity<\/th>\n          <th>What to do<\/th>\n        <\/tr>\n      <\/thead>\n      <tbody>\n        <tr><td>Headache<\/td><td>\ud83d\udd34 Very frequent (80%)<\/td><td>Moderate to intense<\/td><td>Ibuprofen 400mg + hydration + rest<\/td><\/tr>\n        <tr><td>Extreme fatigue<\/td><td>\ud83d\udd34 Very frequent (75%)<\/td><td>Moderate<\/td><td>Complete rest for the first 6 hours<\/td><\/tr>\n        <tr><td>Nausea<\/td><td>\ud83d\udfe1 Frequent (50%)<\/td><td>Mild to moderate<\/td><td>Coca tea, eat lightly, do not lie down immediately after eating<\/td><\/tr>\n        <tr><td>Dizziness<\/td><td>\ud83d\udfe1 Frequent (45%)<\/td><td>Mild<\/td><td>Move slowly, do not run or climb stairs quickly<\/td><\/tr>\n        <tr><td>Shortness of breath<\/td><td>\ud83d\udfe1 Frequent (40%)<\/td><td>Mild when walking<\/td><td>Breathe deeply, walk slowly<\/td><\/tr>\n        <tr><td>Insomnia<\/td><td>\ud83d\udfe1 Frequent (35%)<\/td><td>Mild to moderate<\/td><td>Normal on the first day \u2014 improves within 48h<\/td><\/tr>\n        <tr><td>Vomiting<\/td><td>\ud83d\udfe2 Less frequent (15%)<\/td><td>Can be intense<\/td><td>Hydrate with small sips \u00b7 consult a doctor if persistent<\/td><\/tr>\n      <\/tbody>\n    <\/table>\n\n    <div class=\"alert-box\">\n      <strong>\u26a0\ufe0f Severe warning signs \u2014 descend immediately:<\/strong> If you experience mental confusion, inability to walk in a straight line, bloody cough or severe breathing difficulty at rest, seek medical attention and descend without delay. These may be signs of <strong>high-altitude cerebral or pulmonary oedema<\/strong> \u2014 rare but serious conditions requiring immediate descent and medical care.\n    <\/div>\n\n    <div class=\"banner-wrap\">\n      <div class=\"banner-azul\">\n        <div class=\"banner-azul-icon\">\ud83e\udded<\/div>\n        <div class=\"banner-azul-body\">\n          <div class=\"banner-azul-title\">Traveling to Puno soon \u2014 secure your tour with an altitude-specialist guide<\/div>\n          <div class=\"banner-azul-text\">Turismo Liberty&#8217;s guides know acclimatization rhythms and adapt the itinerary based on how the group feels. Doing the Sillustani tour on arrival day is very different from doing it the next morning. Tell us your dates and we&#8217;ll build the right plan.<\/div>\n          <a href=\"https:\/\/wa.me\/51959175901?text=Hello%2C%20I%27m%20going%20to%20Puno%20and%20want%20to%20plan%20the%20itinerary%20considering%20acclimatization\" target=\"_blank\" class=\"banner-azul-btn\">Plan itinerary \u2192<\/a>\n        <\/div>\n      <\/div>\n    <\/div>\n\n    <h2 id=\"remedies\">\ud83d\udc8a Real Remedies for Altitude Sickness in Puno<\/h2>\n\n    <p>There is a lot of myth and little evidence circulating about what actually works against soroche. Here is what mountain medicine supports and what experience on the altiplano confirms:<\/p>\n\n    <table>\n      <thead>\n        <tr>\n          <th>Remedy<\/th>\n          <th>Does it work?<\/th>\n          <th>How to use it<\/th>\n          <th>Notes<\/th>\n        <\/tr>\n      <\/thead>\n      <tbody>\n        <tr><td><strong>Rest<\/strong><\/td><td>\u2705 Yes \u2014 essential<\/td><td>First 6\u20138 hours after arrival: no physical effort<\/td><td>The most underestimated and most effective measure<\/td><\/tr>\n        <tr><td><strong>Hydration<\/strong><\/td><td>\u2705 Yes<\/td><td>2\u20133 litres of water per day from day one<\/td><td>Avoid alcohol for the first 48h<\/td><\/tr>\n        <tr><td><strong>Coca tea<\/strong><\/td><td>\u2705 Yes (for mild symptoms)<\/td><td>Hot, without sugar, from the moment you arrive<\/td><td>Does not replace acetazolamide in severe cases<\/td><\/tr>\n        <tr><td><strong>Acetazolamide (Diamox)<\/strong><\/td><td>\u2705 Yes \u2014 most effective<\/td><td>125\u2013250 mg every 12h, starting 24h before ascending<\/td><td>Prior medical consultation required \u00b7 contraindicated in sulfonamide allergy<\/td><\/tr>\n        <tr><td><strong>Ibuprofen<\/strong><\/td><td>\u2705 Yes (for headache)<\/td><td>400\u2013600 mg at first symptom<\/td><td>Treats the symptom, not the cause \u2014 stay well hydrated<\/td><\/tr>\n        <tr><td><strong>Supplemental oxygen<\/strong><\/td><td>\u2705 Yes (temporary relief)<\/td><td>Available at hotels and clinics in Puno<\/td><td>Immediate relief but does not speed up acclimatization<\/td><\/tr>\n        <tr><td>Alcohol<\/td><td>\u274c No \u2014 makes it worse<\/td><td>Avoid for the first 48\u201372 hours<\/td><td>Dehydrates and worsens symptoms<\/td><\/tr>\n        <tr><td>Intense physical activity<\/td><td>\u274c No \u2014 makes it worse<\/td><td>No running, no climbing stairs quickly<\/td><td>Day one: walk slowly or stay in the hotel<\/td><\/tr>\n      <\/tbody>\n    <\/table>\n\n    <div class=\"tip-box\">\n      <strong>\ud83d\udca1 The Puno arrival protocol that works<\/strong> \u2014 Arrive, check in, drink a cup of coca tea, eat something light (soup, rice, nothing greasy) and rest for 4\u20136 hours without moving much. That afternoon and evening is the best investment of your Puno trip: respect the rest on day one and on day two you can do the <a href=\"https:\/\/turismoliberty.pe\/en\/trip\/chullpas-of-sillustani-history-and-mystery-in-the-peruvian-altiplano\/\">Sillustani tour<\/a> without any problem.\n    <\/div>\n\n    <h2 id=\"acclimatization\">\ud83d\uddd3\ufe0f Puno Acclimatization Plan: Day by Day<\/h2>\n\n    <p>This is the plan Turismo Liberty recommends to travelers arriving directly from Lima or from sea level, with no prior stopover:<\/p>\n\n    <ol class=\"steps\">\n      <li><strong>Arrival day \u2014 Complete rest<\/strong><br>Arrive in Puno, check in, drink coca tea and rest. Do not do any excursion. Eat lightly: soups, fruit, simple carbohydrates. Drink water constantly. If you have headaches, take ibuprofen. If you are taking acetazolamide, you should have started it 24 hours earlier.<\/li>\n      <li><strong>Day 2 \u2014 Very light activity<\/strong><br>If you feel well, you can take a gentle stroll around central Puno or visit <strong>Lake Titicaca<\/strong> from the waterfront. Nothing involving sustained physical effort. Many travelers do the <a href=\"https:\/\/turismoliberty.pe\/en\/trip\/chullpas-of-sillustani-history-and-mystery-in-the-peruvian-altiplano\/\">Sillustani tour<\/a> on this day if they arrived the previous afternoon and slept well.<\/li>\n      <li><strong>Day 3 \u2014 Half-day tours<\/strong><br>The <strong>Uros Floating Islands<\/strong> are the most accessible tour: the boat ride is relaxing and involves no significant physical effort. It is the perfect excursion for day three. The visit lasts between 3 and 4 hours from Puno port.<\/li>\n      <li><strong>Day 4 onwards \u2014 Full-day tours<\/strong><br><strong>Amantan\u00ed Island<\/strong> with overnight stay or the full Lake Titicaca tour. By this point most travelers are fully acclimatized and can enjoy the complete experience without symptoms.<\/li>\n    <\/ol>\n\n    <div class=\"banner-wrap\">\n      <div class=\"banner-azul\">\n        <div class=\"banner-azul-icon\">\ud83c\udfdb\ufe0f<\/div>\n        <div class=\"banner-azul-body\">\n          <div class=\"banner-azul-title\">Sillustani on day two \u2014 the perfect tour to ease into altitude<\/div>\n          <div class=\"banner-azul-text\">The Chullpas of Sillustani are at 3,850 m.a.s.l. \u2014 almost the same altitude as Puno. The route is gentle, with no high-demand hiking, and Turismo Liberty&#8217;s itinerary includes rest stops. It is the ideal tour for day two: you start moving without risking your acclimatization. Spots available this week.<\/div>\n          <a href=\"https:\/\/turismoliberty.pe\/en\/trip\/chullpas-of-sillustani-history-and-mystery-in-the-peruvian-altiplano\/\" target=\"_blank\" class=\"banner-azul-btn\">See Sillustani tour \u2192<\/a>\n        <\/div>\n      <\/div>\n    <\/div>\n\n    <h2 id=\"tours\">\ud83d\ude8c Tours in Puno and Altitude: When to Do Each One<\/h2>\n\n    <p>Not all Puno tours are equal in terms of physical demand at altitude. This table helps you organize your itinerary according to your acclimatization level:<\/p>\n\n    <table>\n      <thead>\n        <tr>\n          <th>Tour<\/th>\n          <th>Altitude<\/th>\n          <th>Physical effort<\/th>\n          <th>Recommended day<\/th>\n        <\/tr>\n      <\/thead>\n      <tbody>\n        <tr><td><a href=\"https:\/\/turismoliberty.pe\/en\/trip\/chullpas-of-sillustani-history-and-mystery-in-the-peruvian-altiplano\/\">Chullpas of Sillustani<\/a><\/td><td>3,850 m.a.s.l.<\/td><td>\ud83d\udfe2 Low \u2014 gentle walk on flat terrain<\/td><td>Day 2 (if you arrived well the day before)<\/td><\/tr>\n        <tr><td>Uros Floating Islands<\/td><td>3,810 m.a.s.l. (water)<\/td><td>\ud83d\udfe2 Very low \u2014 boat ride<\/td><td>Day 2\u20133<\/td><\/tr>\n        <tr><td>Amantan\u00ed Island (overnight)<\/td><td>3,900 m.a.s.l. (summit)<\/td><td>\ud83d\udfe1 Medium \u2014 optional hike to summit<\/td><td>Day 3\u20134 (summit optional)<\/td><\/tr>\n        <tr><td>Taquile Island<\/td><td>3,950 m.a.s.l.<\/td><td>\ud83d\udfe1 Medium \u2014 long stairs to the village<\/td><td>Day 3\u20134<\/td><\/tr>\n        <tr><td>Full Lake Titicaca tour<\/td><td>3,810 m.a.s.l.<\/td><td>\ud83d\udfe2 Low by boat<\/td><td>Day 2 onwards<\/td><\/tr>\n      <\/tbody>\n    <\/table>\n\n    <div class=\"tip-box\">\n      <strong>\ud83d\udca1 Recommendation for travelers with limited time<\/strong> \u2014 If you only have 2 days in Puno, day 1 is for Sillustani (half-day tour, early return) and day 2 for the Uros Islands. This combination gives you the maximum experience with the minimum soroche risk. <strong>Turismo Liberty<\/strong> can coordinate both departures from your hotel with a single WhatsApp message.\n    <\/div>\n\n    <h2 id=\"comparison\">\u2696\ufe0f Acetazolamide vs Coca Tea: Which to Choose for Puno<\/h2>\n\n    <table>\n      <thead>\n        <tr>\n          <th>Feature<\/th>\n          <th>\ud83d\udc8a Acetazolamide (Diamox)<\/th>\n          <th>\ud83c\udf3f Coca Tea<\/th>\n        <\/tr>\n      <\/thead>\n      <tbody>\n        <tr><td>Clinical efficacy<\/td><td>High \u2014 reduces AMS incidence by 50\u201375%<\/td><td>Moderate \u2014 relieves mild symptoms<\/td><\/tr>\n        <tr><td>When to start<\/td><td>24\u201348h before ascending to altitude<\/td><td>From the moment of arrival<\/td><\/tr>\n        <tr><td>Side effects<\/td><td>Tingling in hands\/feet, frequent urination, metallic taste<\/td><td>No significant side effects<\/td><\/tr>\n        <tr><td>Contraindications<\/td><td>Sulfonamide allergy, pregnancy, kidney\/liver problems<\/td><td>No known contraindications<\/td><\/tr>\n        <tr><td>Prescription needed<\/td><td>Sold without prescription in Peru, but medical consultation required<\/td><td>No<\/td><\/tr>\n        <tr><td>Price in Puno<\/td><td>S\/ 25\u201345 per box (10\u201320 tablets)<\/td><td>S\/ 2\u20135 per cup at any hotel<\/td><\/tr>\n        <tr><td>Best for<\/td><td>Travelers prone to AMS or with history of severe soroche<\/td><td>All travelers as a complementary measure<\/td><\/tr>\n      <\/tbody>\n    <\/table>\n\n    <p>The honest answer: <strong>you don&#8217;t have to choose one<\/strong>. Coca tea and acetazolamide are complementary, not mutually exclusive. Most travel medicine doctors recommend acetazolamide if you have a history of severe soroche or if your itinerary ascends quickly. Coca tea is the immediate cultural companion from the very first moment. And rest, as always, does the most important work of all.<\/p>\n\n    <div class=\"banner-wrap\">\n      <div class=\"banner-azul\">\n        <div class=\"banner-azul-icon\">\ud83c\udf3f<\/div>\n        <div class=\"banner-azul-body\">\n          <div class=\"banner-azul-title\">Lake Titicaca at its best \u2014 dry season now active<\/div>\n          <div class=\"banner-azul-text\">From May to October the Peruvian altiplano offers clear skies, ideal lake conditions and perfect visibility at Sillustani. It is the optimal window to visit Puno: less rain, calmer waters and greater tour availability. Make the most of planning during the ideal season.<\/div>\n          <a href=\"https:\/\/wa.me\/51959175901?text=Hello%2C%20I%27d%20like%20to%20visit%20Lake%20Titicaca%20and%20Sillustani%20in%20the%20dry%20season%202026\" target=\"_blank\" class=\"banner-azul-btn\">Check availability \u2192<\/a>\n        <\/div>\n      <\/div>\n    <\/div>\n\n    <h2 id=\"packing\">\ud83c\udf92 What to Pack to Handle Altitude in Puno<\/h2>\n\n    <p>Beyond medications, there is a list of items that make the difference between a comfortable trip and two days of misery in the hotel:<\/p>\n\n    <ul class=\"checklist\">\n      <li>Acetazolamide (Diamox) \u2014 if your doctor approved it, start 24h before arriving in Puno<\/li>\n      <li>Ibuprofen 400mg \u2014 for altitude headaches (not aspirin, which can increase bleeding risk)<\/li>\n      <li>Reusable water bottle \u2014 minimum 2-litre capacity, stay constantly hydrated<\/li>\n      <li>Extra warm clothing \u2014 Puno drops below 0\u00b0C on nights from May to August; cold worsens discomfort<\/li>\n      <li>Light snacks \u2014 cereal bars, dried fruit, crackers \u2014 for the first hours before eating a full meal<\/li>\n      <li>Motion sickness tablets (optional) \u2014 if you are prone to seasickness on the boat tour to the Uros Islands<\/li>\n      <li>Sunscreen SPF 50+ \u2014 at 3,827 m.a.s.l. UV radiation is very high even on cloudy days<\/li>\n      <li>UV-filter sunglasses \u2014 the reflection off Lake Titicaca multiplies sun exposure<\/li>\n    <\/ul>\n\n    <div class=\"alert-box\">\n      <strong>\u26a0\ufe0f What NOT to do in the first 48h in Puno:<\/strong> Alcohol (dehydrates and worsens soroche), intense physical activity (fast walking, carrying heavy bags, running up stairs), very greasy meals (hard to digest at altitude), very hot showers (can lower blood pressure), and lying down immediately after eating.\n    <\/div>\n\n    <div class=\"banner-wrap\">\n      <div class=\"banner-azul\">\n        <div class=\"banner-azul-icon\">\u26a1<\/div>\n        <div class=\"banner-azul-body\">\n          <div class=\"banner-azul-title\">How many days in Puno do you really need? We&#8217;ll sort it out in 5 minutes<\/div>\n          <div class=\"banner-azul-text\">The most common question from our travelers. The answer depends on your itinerary, departure city and altitude tolerance. Message us and a Turismo Liberty specialist will tell you exactly how many days you need in Puno and how to combine it with Cusco or Arequipa. Spots available this week.<\/div>\n          <a href=\"https:\/\/wa.me\/51959175901?text=Hello%2C%20I%27d%20like%20to%20know%20how%20many%20days%20I%20need%20in%20Puno%20to%20acclimatize%20and%20do%20the%20tours\" target=\"_blank\" class=\"banner-azul-btn\">Ask about itinerary \u2192<\/a>\n        <\/div>\n      <\/div>\n    <\/div>\n\n    <h2 id=\"faq\">\u2753 Frequently Asked Questions \u2014 Altitude Sickness in Puno 2026<\/h2>\n\n    <div class=\"faq-item\">\n      <div class=\"faq-question\">How long does it take to acclimatize in Puno?<\/div>\n      <div class=\"faq-answer\">Most travelers need between 24 and 48 hours to acclimatize in Puno at 3,827 m.a.s.l. The first day is the most critical: symptoms typically appear within the first 6 to 12 hours. With rest, hydration and coca tea, most travelers feel well by the second day. If you arrive directly from sea level, the process may be more intense than if you make a prior stopover in Arequipa (2,335 m.a.s.l.).<\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <div class=\"faq-question\">What is altitude sickness and what are its symptoms?<\/div>\n      <div class=\"faq-answer\">Altitude sickness (AMS \u2014 Acute Mountain Sickness), known as soroche in the Andes, occurs when the body does not receive enough oxygen after ascending rapidly to high altitude. The most common symptoms in Puno are: headache (the most frequent), nausea or vomiting, extreme fatigue, dizziness, shortness of breath with minimal effort, and insomnia. They usually appear between 1 and 12 hours after arriving at altitude.<\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <div class=\"faq-question\">Does coca tea help with altitude sickness in Puno?<\/div>\n      <div class=\"faq-answer\">Coca tea is the most widespread traditional remedy in the Andes and many travelers report relief from mild soroche symptoms. It contains alkaloids that may help improve oxygenation and reduce headaches. It is not a substitute for acetazolamide in severe cases. In Puno it is offered at all hotels: drink it hot, without sugar, from the moment you arrive.<\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <div class=\"faq-question\">Should I take acetazolamide (Diamox) before going to Puno?<\/div>\n      <div class=\"faq-answer\">Acetazolamide is the most effective medication for preventing and treating altitude sickness. The usual preventive dose is 125\u2013250 mg every 12 hours, starting 24 hours before ascending to altitude. It has contraindications (sulfonamide allergy, pregnancy, kidney problems) and side effects. Always consult your doctor before taking it. In Puno it is sold in pharmacies without a prescription, but self-medication without prior consultation is not recommended.<\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <div class=\"faq-question\">Can I do the Sillustani tour with altitude sickness?<\/div>\n      <div class=\"faq-answer\">The Chullpas of Sillustani are at 3,850 m.a.s.l. \u2014 slightly above Puno. If you have mild symptoms such as a moderate headache, the tour is possible with caution: walk slowly, stay hydrated and avoid exertion. If you have nausea, severe dizziness or difficulty breathing, wait until the next day. Turismo Liberty includes rest periods in the Sillustani itinerary specifically to help guests adapt to the altitude.<\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <div class=\"faq-question\">Should I descend to Arequipa if altitude sickness is very severe?<\/div>\n      <div class=\"faq-answer\">If symptoms are severe \u2014 intense breathing difficulty, confusion, persistent vomiting or a headache that does not improve \u2014 yes: descending is the most effective measure. Dropping just 500\u20131,000 meters produces noticeable improvement within a few hours. Arequipa at 2,335 m.a.s.l. is the most practical descent destination from Puno. In mild to moderate cases, most travelers overcome soroche in Puno within 24\u201348 hours without needing to descend.<\/div>\n    <\/div>\n\n    <p><strong>Altitude sickness in Puno<\/strong> is manageable \u2014 with the right plan, it stops being an obstacle and simply becomes the first day of respect you owe the altiplano. Travelers who arrive well informed, rest in the first hours and stay properly hydrated are doing full tours from day two with no issues. <strong>Turismo Liberty<\/strong> has spent years coordinating itineraries on the altiplano and can help you design the correct activity order so that soroche does not cost you a single day of your trip. Message us today and secure your place on the <a href=\"https:\/\/turismoliberty.pe\/en\/trip\/chullpas-of-sillustani-history-and-mystery-in-the-peruvian-altiplano\/\">Chullpas of Sillustani<\/a> or the <a href=\"https:\/\/turismoliberty.pe\/destinos\/puno\/\">Lake Titicaca tours<\/a>.<\/p>\n\n    <div class=\"banner-wrap\">\n      <div class=\"banner-azul\">\n        <div class=\"banner-azul-icon\">\ud83c\udfd4\ufe0f<\/div>\n        <div class=\"banner-azul-body\">\n          <div class=\"banner-azul-title\">Turismo Liberty \u2014 Puno tours with itineraries adapted to your acclimatization pace<\/div>\n          <div class=\"banner-azul-text\">We don&#8217;t run speed tours. We know Puno requires its own rhythm and we build itineraries accordingly. That is what sets us apart: a specialist who knows the Peruvian altiplano first-hand, not an automated booking form.<\/div>\n          <a href=\"https:\/\/turismoliberty.pe\/destinos\/puno\/\" target=\"_blank\" class=\"banner-azul-btn\">See all Puno tours \u2192<\/a>\n        <\/div>\n      <\/div>\n    <\/div>\n\n    <div class=\"cta-block\">\n      <h3>Ready for Lake Titicaca? Plan your Puno itinerary with Turismo Liberty<\/h3>\n      <p>Sillustani \u00b7 Uros Floating Islands \u00b7 Amantan\u00ed Island \u00b7 Itinerary adapted to your acclimatization<\/p>\n      <div class=\"cta-btns\">\n        <a href=\"https:\/\/wa.me\/51959175901?text=Hello%2C%20I%27d%20like%20to%20plan%20my%20Puno%20and%20Lake%20Titicaca%20itinerary%202026%20with%20Turismo%20Liberty\" target=\"_blank\" class=\"cta-btn-wa\">\ud83d\udcf2 Book via WhatsApp<\/a>\n        <a href=\"https:\/\/turismoliberty.pe\/en\/peru-tourist-packages-adventure-culture-and-nature\/\" target=\"_blank\" class=\"cta-btn-ver\">See all packages \u2192<\/a>\n      <\/div>\n    <\/div>\n\n    <!-- Photo carousel -->\n    <div class=\"fotos-carrusel\">\n      <div class=\"fotos-carrusel-title\">\ud83d\udcf7 Puno &amp; Lake Titicaca \u2014 gallery 2026<\/div>\n      <div class=\"carrusel-wrap\" id=\"fotos-carrusel\">\n        <div class=\"carrusel-track\" id=\"fotos-track\">\n          <div class=\"carrusel-slide\">\n            <img decoding=\"async\" src=\"https:\/\/turismoliberty.pe\/wp-content\/uploads\/2026\/04\/tour-chullpas-de-sillustani-puno-1.webp\" alt=\"Chullpas of Sillustani Puno 2026 \u2014 Turismo Liberty\" loading=\"lazy\">\n            <div class=\"carrusel-caption\">Chullpas of Sillustani at 3,850 m.a.s.l. \u2014 the most impressive pre-Inca funerary towers on the Peruvian altiplano<\/div>\n          <\/div>\n          <div class=\"carrusel-slide\">\n            <img decoding=\"async\" src=\"https:\/\/turismoliberty.pe\/wp-content\/uploads\/2026\/04\/tour-isla-de-los-uros-puno-2.webp\" alt=\"Uros Floating Islands Lake Titicaca Puno 2026 \u2014 Turismo Liberty\" loading=\"lazy\">\n            <div class=\"carrusel-caption\">Uros Floating Islands \u2014 the Aymara community that has lived on Lake Titicaca for centuries<\/div>\n          <\/div>\n          <div class=\"carrusel-slide\">\n            <img decoding=\"async\" src=\"https:\/\/turismoliberty.pe\/wp-content\/uploads\/2026\/04\/tour-isla-amantani-puno-1.webp\" alt=\"Amantan\u00ed Island Lake Titicaca Puno 2026 \u2014 Turismo Liberty\" loading=\"lazy\">\n            <div class=\"carrusel-caption\">Amantan\u00ed Island on Lake Titicaca \u2014 homestay experience with local families at 3,900 m.a.s.l.<\/div>\n          <\/div>\n          <div class=\"carrusel-slide\">\n            <img decoding=\"async\" src=\"https:\/\/turismoliberty.pe\/wp-content\/uploads\/2026\/04\/puno-1.webp\" alt=\"Lake Titicaca Puno Peruvian altiplano 2026 \u2014 Turismo Liberty\" loading=\"lazy\">\n            <div class=\"carrusel-caption\">Puno at 3,827 m.a.s.l. \u2014 the world&#8217;s highest navigable lake and the Peruvian altiplano in all its splendour<\/div>\n          <\/div>\n        <\/div>\n        <button class=\"carrusel-btn prev\" onclick=\"moverFotos(-1)\">\u2039<\/button>\n        <button class=\"carrusel-btn next\" onclick=\"moverFotos(1)\">\u203a<\/button>\n      <\/div>\n      <div class=\"carrusel-dots\" id=\"fotos-dots\">\n        <span class=\"active\"><\/span><span><\/span><span><\/span><span><\/span>\n      <\/div>\n    <\/div>\n\n    <!-- TripAdvisor reviews -->\n    <div class=\"op2-resenas\">\n      <div class=\"op2-header\">\n        <div class=\"op2-titulo\">What our travelers say<\/div>\n        <div class=\"op2-sub\">VERIFIED REVIEWS ON TRIPADVISOR<\/div>\n        <div class=\"op2-rating\">\n          <div class=\"op2-score\">4.9<\/div>\n          <div class=\"op2-divider\"><\/div>\n          <div class=\"op2-right\">\n            <div class=\"op2-stars\"><span>\u2605<\/span><span>\u2605<\/span><span>\u2605<\/span><span>\u2605<\/span><span>\u2605<\/span><\/div>\n            <div class=\"op2-tagline\">Excellent \u00b7 Turismo Liberty Peru<\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n      <div class=\"op2-grid\">\n        <div class=\"op2-card\">\n          <div class=\"op2-card-text\">I arrived in Puno with a terrible headache and thought the trip was ruined. I followed Turismo Liberty&#8217;s advice \u2014 rest on day one, coca tea and eat light \u2014 and by the next day I did the Sillustani tour perfectly. The guide kept a very comfortable pace and stopped whenever someone needed a break. The chullpas are breathtaking. On day three I visited the Uros Islands with no problems at all. Thank you for such a well-thought-out itinerary.<\/div>\n          <div class=\"op2-card-footer\">\n            <div class=\"op2-av\" style=\"background:#1a3a6b;\">M<\/div>\n            <div>\n              <div class=\"op2-name\">Mariana V.<\/div>\n              <div class=\"op2-date\">TripAdvisor \u00b7 April 2026<\/div>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"op2-card\">\n          <div class=\"op2-card-text\">I flew from London with connections and arrived in Puno sleep-deprived. Day one was rough \u2014 my head was pounding. But the Turismo Liberty team guided me from the start: acetazolamide I&#8217;d begun in Lima, constant water, no alcohol. By day two I felt fine and did all the planned tours. Sillustani was an absolute highlight of the entire trip. True professionals who know the terrain.<\/div>\n          <div class=\"op2-card-footer\">\n            <div class=\"op2-av\" style=\"background:#27ae60;\">J<\/div>\n            <div>\n              <div class=\"op2-name\">James P.<\/div>\n              <div class=\"op2-date\">TripAdvisor \u00b7 May 2026<\/div>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"op2-card\">\n          <div class=\"op2-card-text\">We traveled as a couple and neither of us had ever been above 2,000 metres. We were very worried about soroche. With Turismo Liberty&#8217;s recommendations we managed it really well \u2014 day one we walked little, ate soup and went to bed early. Day two we visited the Uros Floating Islands and it was magical. Puno is one of Peru&#8217;s most unique destinations and we enjoyed it to the fullest.<\/div>\n          <div class=\"op2-card-footer\">\n            <div class=\"op2-av\" style=\"background:#e67e22;\">C<\/div>\n            <div>\n              <div class=\"op2-name\">Claire R.<\/div>\n              <div class=\"op2-date\">TripAdvisor \u00b7 March 2026<\/div>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n      <div class=\"op2-ver\">\n        <a href=\"https:\/\/www.tripadvisor.com.pe\/Attraction_Review-g294313-d17747974-Reviews-Turismo_Liberty_Peru-Arequipa_Arequipa_Region.html\" target=\"_blank\" rel=\"nofollow noopener\">See all TripAdvisor reviews \u2192<\/a>\n      <\/div>\n    <\/div>\n\n  <\/div>\n<\/div>\n\n<script>\n(function(){\n  var links=document.querySelectorAll('.toc-list a');\n  var sections=Array.from(links).map(function(l){return document.querySelector(l.getAttribute('href'));}).filter(Boolean);\n  window.addEventListener('scroll',function(){\n    var scrollY=window.scrollY+120;\n    var current=sections[0];\n    sections.forEach(function(s){if(s.offsetTop<=scrollY)current=s;});\n    links.forEach(function(l){l.classList.toggle('active',l.getAttribute('href')==='#'+current.id);});\n  });\n  document.querySelectorAll('.faq-question').forEach(function(q){\n    q.addEventListener('click',function(){\n      var item=this.parentElement;\n      var isOpen=item.classList.contains('open');\n      document.querySelectorAll('.faq-item').forEach(function(i){i.classList.remove('open');});\n      if(!isOpen)item.classList.add('open');\n    });\n  });\n  var dots=document.querySelectorAll('.dots span');\n  function startDots(){\n    dots.forEach(function(d){d.style.animation='none';d.style.opacity='0.2';});\n    requestAnimationFrame(function(){requestAnimationFrame(function(){\n      dots.forEach(function(d,i){d.style.animation='typingDot 1.2s ease-in-out '+(i*0.2)+'s 3';});\n    });});\n    setTimeout(startDots,1200*3+400+3000);\n  }\n  startDots();\n  var obs=new IntersectionObserver(function(entries){\n    entries.forEach(function(e){if(e.isIntersecting)e.target.classList.add('visible');});\n  },{threshold:0.15});\n  document.querySelectorAll('.banner-wrap').forEach(function(el){obs.observe(el);});\n  setTimeout(function(){\n    document.querySelectorAll('.banner-wrap').forEach(function(el){\n      if(el.getBoundingClientRect().top<window.innerHeight)el.classList.add('visible');\n    });\n  },200);\n  var waIsOpen=false;\n  function toggleWaPopup(){waIsOpen=!waIsOpen;var popup=document.getElementById('wa-popup');var badge=document.getElementById('wa-badge');if(waIsOpen){popup.classList.add('open');if(badge)badge.style.display='none';}else{popup.classList.remove('open');}}\n  var waFab=document.getElementById('wa-fab');\n  var waClose=document.getElementById('wa-close');\n  if(waFab)waFab.addEventListener('click',toggleWaPopup);\n  if(waClose)waClose.addEventListener('click',toggleWaPopup);\n  setTimeout(function(){var popup=document.getElementById('wa-popup');if(popup){popup.classList.add('open');waIsOpen=true;var badge=document.getElementById('wa-badge');if(badge)badge.style.display='none';}},3500);\n})();\n<\/script>\n<script>\n(function(){\n  var current=0;var total=4;\n  function moverFotos(dir){\n    current=(current+dir+total)%total;\n    document.getElementById('fotos-track').style.transform='translateX(-'+(current*100)+'%)';\n    document.querySelectorAll('#fotos-dots span').forEach(function(d,i){d.classList.toggle('active',i===current);});\n  }\n  window.moverFotos=moverFotos;\n  document.querySelectorAll('#fotos-dots span').forEach(function(d,i){\n    d.addEventListener('click',function(){current=i-1;moverFotos(1);});\n  });\n  document.querySelectorAll('#fotos-carrusel img').forEach(function(img){\n    img.addEventListener('contextmenu',function(e){e.preventDefault();});\n    img.addEventListener('dragstart',function(e){e.preventDefault();});\n  });\n})();\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Travel to Puno with a specialist altitude guide \u2014 Sillustani &amp; Lake Titicaca from $55 \u00b7 spots available this week Check availability \u2192 Turismo Liberty Online now &#x2715; Hi! \ud83d\udc4b Planning to visit Puno or Lake Titicaca? 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