I found out that when you move from the beach at zero elevation to an elevation well above three thousand feet, you simply have to wait for your red blood cells to be replaced by newer, larger red blood cells that hold more oxygen. This took me almost 3 months and some longer. When I got up off the couch I discovered that I had to give myself at least 5 minutes before climbing my stairs.
Alternatively I have also discovered that by losing 40 pounds I will not have to wait so long when getting off the couch.
Ironically, I discovered that in order to lose the 40 pounds, I needed to stay off the couch to begin with.
Hmmm.
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