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Food quality can be improved by reducing energy consumption, which is achieved by decreasing the consumption of high-energy foods, such as those with a high fat and sugar content, and by increasing fiber intake (57)

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The incidence and severity of high-altitude disease are determined by the attained altitude, ascent variables (including environmental and behavioral factors), and individual susceptibility

[3] [12] Testing for B12 status should be based on symptoms or risk factors rather than routine screening, with healthcare professionals assessing individuals who may be at higher risk of deficiency