Yes I read the comments on the other board. Very interesting read.Enjoyed some good questions and of course Ken another doctor adding his knowledge.Very educational read. Bottom line just like treating patients in our practices everyone is different and everyones case and their S&S are unique for them.There are so many factors to consider to why someone may get AMS or not and what course of treatment is appropiate for that individual.Genetics; Training/conditioning; hydration/over hydration;Proper acclimation;diamox;sleep deprevation;hypoglycemia;overexertion due to pace or too heavy pack.....