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Upon arriving in Tinqui (12,795 ft), we set up camp, have an early dinner, and rest

it requires a deep understanding of internal medicine

Route: Ascent to the first pass (Arapa Pass at 15,745 ft), descent to Yana Cocha Lake (14,765 ft) for a picnic, then ascent to the Extreme Ausangate Pass (15,910 ft)