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You certainly have to take precautions against dehydration in any challenging environment, and there’s no harm in “practicing.” The key, IMO, isn’t “how much can I handle?,” but rather “how do I ensure that I’m drinking enough fluid?” So (for example) a camelback might be a good choice if your skiing (or biking) keeps you away from drinking water for extended periods.

When skiing in the Rockies, I made sure to drink plenty of fluids beforehand and eat a small amount of food. If you are skiing at Vail or similar places, ask about the availability of restroom facilities on the mountain.  For hiking, you can use the woods if the need arises.  Acclamation to high altitudes is no different with a j pouch than it was before he had surgery, but be sure to stay hydrated.

I had altitude sickness at the summit of Pike’s Peak which is over 14,000 feet in altitude. This thread is mainly focused on hydration but as you go higher up the air is thinner with less oxygen and it kind of creeps up on you. I had to descend quickly because I felt rather unwell and I was alone. Don’t forget that altitude in and of itself can have effects on your body and your head. Sometimes people get wrapped up in concern about one possible danger while totally overlooking another. Don’t fall into this trap.

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