EXPLORE NEPAL · TOURS & TREKS

Tsum valley and Manaslu Circuit Trekking

A journey shaped by the landscapes, people and experiences of Nepal.

Offered by Nepal Alternative Treks & Expeditions Pvt. Ltd.

Duration19 daysTravel styleTrekking
Illustrative Nepal scenery for Tsum valley and Manaslu Circuit Trekking NEPAL · TRAVEL EXPERIENCES
01 / THE EXPERIENCE

Discover the journey

TSUM VALLEY AND MANASLU TREKKING The Manaslu and Tsum valley treks were officially closed to tourists till 1991. Since it is officially opened by Nepal government with certain formalities to obtain permits from Immigration of Nepal, Nepal alternative treks combined Manaslu-Tsum valley trek with the trip to high mountain pass, rocky and sloppy mountain range, along with the incredible valley, picturesque settlements of various ethnic communities residing alongside the trail, sacred valley, so as one of the highest mountain peaks including Mt. Manaslu (8,156 m), is the eight highest peaks in the world. Hence, you will not only have an opportunity to explore the range of mountains located in the Manaslu and Annapurna region, but also Tsu, one of the most secret and incredible valley, the picturesque settlements resided by various ethnic communities, their unique rituals, culture and lifestyles and many more. The local people are mostly of Tibetan origin and seek a unique dialect. Trails are strewn with artistic chortens and lined with mani walls made of thousands of stone slabs carved with deities and prayers. The Tsum valley has a long history of Buddhism. The Buddhist saint Milarepa is believed to have meditated in the caves of these mountains. Traditionally Tsum valley was a culturally distinct geographical area called 'Tsum Tso Chuksum', which means thirteen provinces ruled as a single territory. The ancient remains of the Tsum Kingdom are still visible today. Due to its remoteness and inaccessibility, this sacred valley and its people have been bypassed by mainstream development for centuries. As a result, the unique culture of this valley has remained intact. Alongside of the picturesque trail, you will have awesome views of the mountains namely Mt. Manaslu, Himalchuli, Ganesh Himal and numerous of other mountains located in the areas, take beautiful snaps of the mountains, incredible valleys, rocky and sloppy hills, the snow-capped mountain pass namely Ngula Dhoj Hyang (5,093 m), Yamdro Pass (5,326 m). Therefore, this is regarded to be one of the adventure and off the beaten trek of best combination trekking trips in the country. As local people are operating local lodges and home stay in this area, we are offering tea house trek for direct profit to local people from the package. We have employed local guides and porters from Manaslu region to encourage local people and authentic information to you regarding that area. They are well trainned and government registered trekking guides.

02 / WHY GO

The memorable moments

Off the beaten trek with vergin ethnic culture of Nepali and tibetan ethnic communities. The jaw-dropping natural beauty of forests, rivers, and flora of the Manaslu region. Friendly people and warm hospitality . Larky La Pass (5125 meters), the highest point on the trek. Stunning views of Manaslu, Cheo Himal, Himlung Himal, Nemjung, Gyaji Kang and Kang Guru, and Annapurna II. Abundant wildlife including Tahr (Mountain Goat), Agali (Blue Sheep), Pika (Highest living Mammal), Himalayan Marmots and, if you are lucky Snow Leopard. Explore Ganesh Himal base camp, Birendra lake, Mu Gompa and home stay at Tsum valley

03 / YOUR ROUTE

Journey at a glance

Day 1: Kathmandu-Arughat-Sotikhola ( 750m./2461ft.) 8 hours drive — Early morning, We leave Kathmandu for our trek to Manaslu. We reach Arughat through the beautiful Nepalese countryside after six hours drive. Arughat is the largest village of this river basin then drive continue to Soti Khola-river another two hours . Stay overnight there at lodge. Meals included : Breakfast, Lunch, Dinner Day 2: Sotikhola-Machhakhola ( 930m./3069ft.) 6 hours walk — We head toward Machhakhola today . In the beginning, We cross Machha River and head upstream along the river's edge. Stay overnight at lodge. Meals included : Breakfast, Lunch, Dinner Day 3: Machhakhola- Jagat ( 1410m./3990ft.) 6 hours walk — The trail leads us to Jagat . After crossing Khola besi, we pass by hot spring "Tatopani". The trail follows forested area toward Doban. Below Doban, there is a huge rapid at Budhi Gandaki. The rapids and the scenery undergoes a complete transformation as the elevation increases. Stay overnight in Jagat at lodge. Meals included : Breakfast, Lunch, Dinner Day 4: Jagat-Philim –Lokpa ( 2240m./6339ft.) 5 hours walk — We take the trail up through Philim and head up over a ridge that leads to Lokpa. We stay overnight there at Lodge. Meals included : Breakfast, Lunch, Dinner Day 5: Lokpa-Chumling - Chhokangparo (3010m./9933ft.) 6 hours walk — We continue heading to Chhokangparo.This is a village situated on flat land and made up of two settlements Chhekam and Paro. From the valley, the Ganesh Himal range can be seen directly to the south where it provides spectacular views of the Baudha Himal chuli peaks to the south-west. Some households in this village practice polyandry. Stay there overnight at lodge. Meals included : Breakfast, Lunch, Dinner Day 6: Chhokangparo - Nile/Chhule-Mu Gompa ( 3800m./10754ft.) 6 hours walk — We trek through Nile/ Chulle to Mu Gompa. This is the last village heading north in the upper Tsum Valley. Nile is on the western, sun-side of the Shiar Khola, about 20 minutes walk across from Chhule. On the way, we pass one of the most sacred cave " Pire Phu" ( Pigion cave) in the Tsum valley. It is located at the foot of a rugged cliff near the village of Burji. Milarepa, the famous Tibetan saint, was believed to have meditated here. There are two separate gumbas attached to the rocky cave. Richly painted Buddhist murals, excellent artistic scripts carved on stones, long prayer flags and significant Buddhists paper scripts make this cave one of the most important socio-cultural asset in the valley. Shiar Khola, Rachen Gumba, the mountains and settlements amidst vast agricultural land can be viewed from this point. Stay there overnight at lodge . Meals included : Breakfast, Lunch, Dinner Day 7: Excursion day to Mu Gompa — The largest monastery "Mu Gumba" in this regions is located at the highest and farthest point in the Tsum valley. Dephyudonma Gumba is one of the oldest monasteries in the Tsum Valley and is situated in the rugged mountains, it is 2 hours walk from the village of Chhule and Nile. The history of this monastery is directly associated with the dawn of Buddhism in the valley. The monastery is run by Lama Serap of Nile Ladrang from the Kangin sect. There are a few campsites and drinking water facilities. Stay there overnight at Lodge. Meals included : Breakfast, Lunch, Dinner Day 8: Mu Gompa-Nile/Chule –Chhokangparo ( 3010m./9933ft.) 6 hours walk — We head to Chhokangparo, a nunnery. The nunnery is situated in the Shiar Khola Valley in the foothills of the mountains bordering Nepal and Tibet. Rachen Gumba was established in the year 1905 AD and is one of the largest nunneries in the Tsum valley. It houses nuns belonging to the Ngak-pa sect, which does not allow animal slaughter. The nunnery houses one thousand clay, molded statues of Avalokiteshwara, a brightly colored, carved throne and pillar, and a large prayer wheel. The interior is richly painted with murals about Buddhism and its history. Stay there overnight at Lodge. Meals included: Breakfast, Lunch, Dinner Day 9: Chhokaparo-Chumling-Lokpa ( 2240m./6339ft.) 6 hours walk — We walk to Chumling and trek continue to Lokpa. We stay overnight there at lodge. Meals included : Breakfast, Lunch, Dinner Day 10: Lokpa-Ghap ( 2380m./7808ft.) 6 hours walk — The trail leads us to Ghap . At begining, we cross Budhi Gandaki again and climb up, pass a waterfall, cross a stream, and continue to climb ahead to Shringi Khola; cross it and reach Ghap (Tsak). Stay overnight there at lodge. Meals included : Breakfast, Lunch, Dinner Day 11: Ghap -Lho ( 3180m./10494ft.) 6 hours walk — The trail crosses over Budhi Gandaki enters woods then it climbs up to Budhi Gandaki valley. We climb over a big rock, continues up through deep fir and rhododendron forest, and then enters Namrung then continue walk to Lho. We stay here overnight at lodge. Meals included : Breakfast, Lunch, Dinner Day 12: Lho-Sama Gaun ( 3360m./11024ft.) 5 hours walk — We follow to Nupri region . The trail passes Barcham and crosses Hinan Khola and reaches to Sho. The trail then follows to Lho and drops down across Damonan Khola then ascend again to a plateau at Shya. After crossing a ridge the trail descends onto a rock - strewn moraine and goes onto a ridge overlooking pastures and fields of Samagaon. The Sama Gaun is nestled against a wooded moraine at the end of the valley. We stay overnight there at lodge. Meals included : Breakfast, Lunch, Dinner Day 13: Acclimatization day — We high altitude acclamatize to avoid Altitude Mountain sickness (AMS). You have options to explore to Birendra lake or Punggen Gompa or explore the village. Stay overnight at lodge. Meals included : Breakfast, Lunch, Dinner Day 14: Sama Gaun-Samdo ( 3780m./12402ft.) 4 hours walk — It is a short walk to Samdo. At begining of day, we descend to Budhi Gandaki and to Manaslu Base Camp. The Larkya La trail passes several Mani walls and reaches Kermo Kharka. The trail then climbs steeply to find Samdo nestled behind a ridge. Stay there overnight at lodge. Meals included : Breakfast, Lunch, Dinner Day 15: Samdo – Dharmasala ( 4200m./13780ft.) 4 hours walk — We move ahead to Larkya La. The trail forwards and climbs in and out of the gorge and reaches Dharmasala. Stay there overnight at lodge. Meals included : Breakfast, Lunch, Dinner Day 16: Dharmasala - Larkya La (5135m./16847ft.) - Bimtang ( 2200m./7218ft.) 8 hours walk — Today, We have very early breakfast and start untimely. The trail reaches at the top of the moraine at 4,700m. (15,420ft) and climbs steeply to the pass. Then the trail descends to Bimtang (" Plain of Sand" in Tibetan Language). This huge valley surrounded by high peaks. We stay there overnight at lodge. Meals included : Breakfast, Lunch, Dinner Day 17: Bimtang-Tilje-Dharapani ( 1860m./5263ft.) — The trek descends to Dudh Khola and reaches Gho crossing Pine and Rhododendron forests. At the foot of the valley, part of Lamjung Peak above the Marsyangdi valley comes into sight. The trail continues to Dharapani villages. Stay there overnight at lodge. Meals included : Breakfast, Lunch, Dinner Day 18: Dharapani – Besisahar ( 820m./2706ft.) 6 hours drive — After breakfast, We drive through amphitheatre-shaped rice terraces, along a steep vertical cliff, lush forests, and some culturally intriguing villages, water fall then reach Besisahar and stay overnight at a lodge . Meals included : Breakfast, Lunch, Dinner Day 19: Besisahar-Kathmandu ( 1400m./4620ft.) 5 hours drive — Early morning after breakfast drive to Kathmandu. Meals included : Breakfast, Lunch

YOUR DAY-BY-DAY ROUTE

Day-by-day itinerary

Day 1Kathmandu-Arughat-Sotikhola ( 750m./2461ft.) 8 hours drive — Early morning, We leave Kathmandu for our trek to Manaslu. We reach Arughat through the beautiful Nepalese countryside after six hours drive. Arughat is the largest village of this river basin then drive continue to Soti Khola-river another two hours . Stay overnight there at lodge.+

Confirm daily arrangements with the provider.

Day 2Sotikhola-Machhakhola ( 930m./3069ft.) 6 hours walk — We head toward Machhakhola today . In the beginning, We cross Machha River and head upstream along the river's edge. Stay overnight at lodge.+

Confirm daily arrangements with the provider.

Day 3Machhakhola- Jagat ( 1410m./3990ft.) 6 hours walk — The trail leads us to Jagat . After crossing Khola besi, we pass by hot spring "Tatopani". The trail follows forested area toward Doban. Below Doban, there is a huge rapid at Budhi Gandaki. The rapids and the scenery undergoes a complete transformation as the elevation increases. Stay overnight in Jagat at lodge.+

Confirm daily arrangements with the provider.

Day 4Jagat-Philim –Lokpa ( 2240m./6339ft.) 5 hours walk — We take the trail up through Philim and head up over a ridge that leads to Lokpa. We stay overnight there at Lodge.+

Confirm daily arrangements with the provider.

Day 5Lokpa-Chumling - Chhokangparo (3010m./9933ft.) 6 hours walk — We continue heading to Chhokangparo.This is a village situated on flat land and made up of two settlements Chhekam and Paro. From the valley, the Ganesh Himal range can be seen directly to the south where it provides spectacular views of the Baudha Himal chuli peaks to the south-west. Some households in this village practice polyandry. Stay there overnight at lodge. +

Confirm daily arrangements with the provider.

Day 6Chhokangparo - Nile/Chhule-Mu Gompa ( 3800m./10754ft.) 6 hours walk — We trek through Nile/ Chulle to Mu Gompa. This is the last village heading north in the upper Tsum Valley. Nile is on the western, sun-side of the Shiar Khola, about 20 minutes walk across from Chhule.+

Confirm daily arrangements with the provider.

Day 7Excursion day to Mu Gompa   — The largest monastery "Mu Gumba" in this regions  is located at the highest and farthest point in the Tsum valley. +

Confirm daily arrangements with the provider.

Day 8Mu Gompa-Nile/Chule –Chhokangparo ( 3010m./9933ft.) 6 hours walk — We head to Chhokangparo, a nunnery. The nunnery is situated in the Shiar Khola Valley in the foothills of the mountains bordering Nepal and Tibet. Rachen Gumba was established in the year 1905 AD and is one of the largest nunneries in the Tsum valley. It houses nuns belonging to the Ngak-pa sect, which does not allow animal slaughter. The nunnery houses one thousand clay, molded statues of Avalokiteshwara, a brightly colored, carved throne and pillar, and a large prayer wheel. The interior is richly painted with murals about Buddhism and its history. Stay there overnight at Lodge.+

Confirm daily arrangements with the provider.

Day 9Chhokaparo-Chumling-Lokpa ( 2240m./6339ft.) 6 hours walk — We walk to Chumling and trek continue to  Lokpa. We stay overnight there at lodge.+

Confirm daily arrangements with the provider.

Day 10Lokpa-Ghap ( 2380m./7808ft.) 6 hours walk — The trail leads us to Ghap . At begining, we cross Budhi Gandaki again and climb up, pass a waterfall, cross a stream, and continue to climb ahead to Shringi Khola; cross it and reach Ghap (Tsak).  Stay overnight there at lodge.+

Confirm daily arrangements with the provider.

Day 11Ghap -Lho ( 3180m./10494ft.) 6 hours walk — The trail crosses over Budhi Gandaki enters woods then it climbs up to Budhi Gandaki valley. We climb over a big rock, continues up through deep fir and rhododendron forest, and then enters Namrung then continue walk to Lho. We stay here overnight at lodge.+

Confirm daily arrangements with the provider.

Day 12Lho-Sama Gaun ( 3360m./11024ft.) 5 hours walk — We follow to Nupri region . The trail passes Barcham and crosses Hinan Khola and reaches to Sho. The trail then follows to Lho and drops down across Damonan Khola then ascend again to a plateau at Shya. After crossing a ridge the trail descends onto a rock - strewn moraine and goes onto a ridge overlooking pastures and fields of Samagaon. The Sama Gaun is nestled against a wooded moraine at the end of the valley. We stay overnight there at lodge.+

Confirm daily arrangements with the provider.

Day 13Acclimatization day — We high altitude acclamatize to avoid Altitude Mountain sickness (AMS). You have options to explore to Birendra lake or Punggen Gompa or explore the village. Stay overnight at lodge.+

Confirm daily arrangements with the provider.

Day 14Sama Gaun-Samdo ( 3780m./12402ft.) 4 hours walk — It is a short walk to Samdo.  At begining of day, we descend to Budhi Gandaki and to Manaslu Base Camp. The Larkya La trail passes several Mani walls and reaches Kermo Kharka. The trail then climbs steeply to find Samdo nestled behind a ridge. Stay there overnight at lodge.+

Confirm daily arrangements with the provider.

Day 15Samdo – Dharmasala ( 4200m./13780ft.) 4 hours walk — We move ahead to Larkya La. The trail forwards and climbs in and out of the gorge and reaches Dharmasala. Stay there overnight at lodge. +

Confirm daily arrangements with the provider.

Day 16Dharmasala - Larkya La (5135m./16847ft.) - Bimtang ( 2200m./7218ft.) 8 hours walk — Today, We have very early breakfast and start untimely. The trail reaches at the top of the moraine at 4,700m. (15,420ft) and climbs steeply to the pass. Then the trail descends to Bimtang (" Plain of Sand" in Tibetan Language). This huge valley surrounded by high peaks. We stay there overnight at lodge.+

Confirm daily arrangements with the provider.

Day 17Bimtang-Tilje-Dharapani ( 1860m./5263ft.) — The trek descends to Dudh Khola and reaches Gho crossing Pine and Rhododendron forests. At the foot of the valley, part of Lamjung Peak above the Marsyangdi valley comes into sight. The trail continues to Dharapani villages. Stay there overnight at lodge. +

Confirm daily arrangements with the provider.

Day 18Dharapani – Besisahar ( 820m./2706ft.) 6 hours drive — After breakfast, We drive through amphitheatre-shaped rice terraces, along a steep vertical cliff, lush forests, and some culturally intriguing villages, water fall then reach Besisahar and stay overnight at a lodge .+

Confirm daily arrangements with the provider.

Day 19Besisahar-Kathmandu ( 1400m./4620ft.) 5 hours drive — Early morning after breakfast drive to Kathmandu. +

Confirm daily arrangements with the provider.

KNOW WHAT'S COVERED

What's included in your experience

Included

  • Tribhuwan International Airport transfer ( Airport+ hotel + airport) .
  • All meals during the trekking (Breakfast, Lunch, Dinner).
  • Lodge accommodation (Twin share basis) during the trekking.
  • One experienced, educated, well trained, fluent English and local language speaking, friendly, specialized in Tsum valley and Manaslu trekking region and government authorized trekking guide and required porter ( One porter for two persons).
  • Guide and porter’s food, accommodation, salary, insurance, transportation and equipments.
  • Kathmandu- Sotikhola by overland transportation and Dharapani- kathmandu overland transportation.
  • Manaslu special permit.
  • Tsum valley special permit.
  • ACAP ( Annapurna conservation area project) and MCAP ( Manaslu conservation area project).
  • Trekking map, first aid medical kit box, duffle bag, Company t-shirt, Trekking completion certificate, seasonal fruits etc.

Not included

  • Hotel accommodation and meals in Kathmandu.
  • Hard and soft table drinks such as tea/coffee, coke, fanta, mineral water, alchoholic drinks, desert, hot shower, boilled water, battery recharge, phone bill, laundry and bar bill.
  • Personal Travel insurance.
  • Tips for guide and porters.( Highly suggested ). 
PLAN AHEAD

Essential trip information

Before you go

Manaslu speical Permit Manaslu special permit is compulsory for Manaslu area. Nepal government fixed the fee $ 70 per person per week and US$ 10 per person for each extra day during September - November and US$ 50 per person per week and US$ 7 per person per each extra day during December- August. You have to obtain with cirtain formalities through government registered trekking company as Nepal Alternative Treks. You are required orginal passport with arrival visa, a passport size photograph and fee in USD cash.  Tsum valley special permit It is compulsory to obtain tsum valley permit to get in this area. Permit fee is $ 35 per person for first 8 days from September to November and $ 25 per person for first 8 days from December to August. Only authorized trekking agencies as Nepal alternative treks are eligable to obtain this permit with original passport and arrival visa, a passport size photo and fee in USD.  Manaslu Conservation Area Project ( MCAP) You are required MCAP for Manaslu circuit Trekking. You will have to obtain from government registered company as Nepal Alternative Treks and fee is fixed by NTNC  Rs. 2260 ( Two thousand two hundred sixty rupees ) per person to Manaslu conservation area. You will need a passport copy, one passport size photograph and fee in cash Rs. 2260 each. We have included in package.  Annapurna Conservation Area Project ( ACAP) The provision of  ACAP is to maintain and build local tourism infrastructure and preserve the nature.  Annapurna Conservation Area Project (ACAP)permit is necessarily required for this trip. It can be obtained from government registered trekking company as Nepal alternative treks & Expeditions.  It's fee is fixed by NTNC Rs. 3000 ( Three thousand rupees) per person to Annpurna conservation area. You can not obtain along the entry point, they may return you without carrying ACAP permit. You need passport copy, one passport size photograph and fee in Rs. 3000 ( Three thousand  rupees) or equivalent  in cash to apply the permit. This permit you can use only single entry in the area but no limitation of period. It is included in our package.  Trekker's information Management System ( TIMS) TIMS is not required for trekking in protected area as Manaslu.  Travel insurance  It is a condition of joining any of our trips that be protected against comprehensive expenses potential to incur due to medical issues or accidents (to include air ambulance, helicopter rescue, and treatment costs). Please be noted that we don’t arrange or sell insurance. A relaxed trip is not possible without good travel insurance. In the event of any sickness or injury, the cost of emergency treatment and evacuation is shocking. Therefore, travel insurance is strongly recommended for everyone who signs up with Nepal alternative Trekking.  Recommended Travel Insurance Companies For Travelers from Thailand AXA insurance Thailand - https://www.axa.co.th   For Travelers from USA and  CANADA Online Global Health Insurance -http://www.onlineglobalhealthinsurance.com Insure My Trip.com (Online Insurance Aggregator) - http://www.insuremytrip.com Mondial Assistance 4273 King St. East Kitchener ON N2P 2E9 Canada mondial-assistance.ca Access America - http://www.accessamerica.com/ HCC Medical Insurance Services - http://www.mnui.com/ Good Neighbor Insurance (International Health) - http://www.gninsurance.com/ International health: overseashealthinsurance.com Insure my Trip dot Com insuremytrip.com MultiNational Underwriters 251 North Illinois Street, Suite 600 / Indianapolis, IN 46204 317-262-2132 / 800-605-2282 / Fax: 317-262-2140 mnui.com/ service@mnui.com TIC Travel Insurance Coordinators Ltd. Sylvie Bougon, Bilingual Emergency Assistance Coordinator Toronto Office Telephone: (416) 340-0049 Toll Free: 1-800-995-1662 Fax Number: (416) 340-9918 E-Mail: bougon@travelinsurance.ca Website: www.travelinsurance.ca Travel Assist http://www.travelassistnetwork.com/ Trave Lite http://www.travelite.com/ Travelex http://www.travelex-insurance.com/ For Travelers from ENGLAND Ali Ramzi | Operations Specialist Specialty Group (UK) Limited - Europoint, 5/11 Lavington Street, London, SE1 0NZ, United Kingdom UK tel:  + 44 (0)20 7902 7405 UK fax: + 44 (0)20 7928 4748 USA tel: +1 215 489 3785 USA fax: +1 215 489 8525 Email: Ramzi@specialty-assist.com| www.specialty-group.com  For Urgent : ops@specialty-assist.com FirstAssist Services Limited Wheatfield Way, Hinckley Fields Industrial Estate, Hinckley Leicestershire LE10 1YG England Telephone 01455 251155 Fax +44 (0)1455 254001  http://firstassist.co.uk Harrison Beaumont hbinsurance.co.uk Buy cheap travel insurance: insureandgo.com For Travelers from EUROPE and SLOVENIA Assistance CORIS d.o.o. e-mail: puzavac@coris.si| web:www.coris.si For Travellers from AUSTRALIA and NEW ZEALAND Cover More Travel   Insurance covermore.com.au CGU Insurance Limited cgu.com.au Worldcare Travel Insurance PO Box 162 Toowong Qld 4066 Australia Phone: 1800 008 614 between 0800 and 1800 AEST Monday to Friday E-mail: sales@worldcare.com.au For Travelers from SOUTH AFRICA Travel insurance Consultants Pty .Ltd 5th Floor, 296 Kent Avenue Randburg Johannesburg Cremerview, 2060 South Africa www.tic.co.za What is Acute Mountain Sickness (AMS) ? Acute mountain sickness is an illness that can affect trekkers at high altitudes, usually above 8,000 feet (2,400 meters). The highest point is Larke la pass which is elevated at 5135 meter. If you be precautious about high altitude and follow our guide then you can avoid it.  How do we know if I get AMS ? Your symptoms will also depend on the speed of your climb and how hard you push (exert) yourself. Symptoms are as below: Difficulty sleeping Dizziness or light-headedness Tiredness Headache Loss of appetite Nausea or vomiting Rapid pulse (heart rate) shortness of breath with exertion Cannot walk in a straight line Treatment  Rest, Rest , Rest Go down, down, down Diamox Diamox may be given to help you breathe better. It can help reduce mild symptoms. This medicine can make you urinate more often. Make sure you drink plenty of fluids and avoid alcohol when taking this drug. This medication works best when taken before reaching a high altitude. Prevention and pre-cautious  Keys to preventing acute mountain sickness include: Climb the mountain gradually and slowly Sleep at a lower altitude when possible Learn how to recognize early symptoms of mountain sickness Drink plenty of fluid – 3 liters per day Avoid alcohol Eat regular meals, high in carbohydrates Sleep well Be well equipped First aid Owing to a sudden change in climate, altitude and other factors, it is obvious that there could arise some alterations in your health. It would be hard to know all aspects of Nepal's health problems.You will be eating and drinking in various outlets. Diarrhea is a common illness that a tourist would be facing. So, it is recommended to drink purified water and eat in clean outlets. Drinking and eating precautions will surely help to take care of many health problems that could arise during the trip. Staying hydrated during the travel, trekking, tours is highly recommended too. If any problem should arise during the trip. Being on good health before leaving for a trip would help you to enjoy your trip to the fullest.Though Nepal alternative treks will be carrying first aid medical kid, you are also suggested to take personal basic first medicines for in case. Meals During our trek, we can enjoy authentic Nepalese food as well the more common international cuisine (Tibetan, Continental, Italian, Indian, etc.) in lodges. Threre will be provided breakfast, lunch and dinner three times along the route on your choice from MENU . Physical Condition & Experience Requirements Tsum valley and Manaslu Circuit trek is moderate level of trek,  suitable for passionate walkers who have the ability to walk at least 5-6 hours a day with a light rucksack. As we will  get the highest elevation 5130 meter, you are preferred an excellent health with average physical fitness, have a positive attitude and strong determination, we can accomplish the trek successfully. Exercising and jogging regularly is good idea to enhance our strength and stability. Past hiking experience would be an asset but no technical skill is required for this trip. Participants with pre-existing medical conditions such as heart, lung, and blood diseases should inform Nepal alternative treks before booking the trek.

Accommodation

We leave you free to choose hotel in Kathmandu  as there will be various choices. We arrange twin share basis room in lodges during the trek. We will arrange shared washing room and toilet.

Fitness & eligibility

1

Meeting point

Arughat

What to bring

  • Trekking Clothing equipment 
  • When you select your personal items, keep in mind the number of days you will be trekking, the time of year and the altitude. We advise our clients to bring these items:
  • Lightweight walking boots "walked" them in prior to arrival in Nepal to avoid blisters. 
  • Light weight pants, shorts
  • At night -track top, pants 
  • T-shirts. 
  • Long sleeve shirt, if susceptible to sunburn. 
  • Sun hat - sunburn is severe at rarefied altitudes. 
  • Thick outer wooden socks, thin inner cotton 
  • Vaseline for feet and crutch.
  • Water bottle - 2 liters.
  • Sunglasses and strap 
  • Small headlamp/flashlight /torch
  • Personal medical supplies - do not forget ban - aids, elastic bandage 
  • Sunscreen, sun bock, sun - tan lotion. 
  • Small daypack - 25 liters. 
  • Wind proof jacket  and rain jacket - poncho style to cover backpack. 
  • Small towels 
  • Warm down fiber filled jacket ( You can get on rent at Thamel) 
  • Sleeping bag to -15c with inner sheet ( You can get on rent at Thamel) 
  • Thermal underwear, woolen shirts and thick sweaters. 
  • A pair of gloves 
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