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Shortness of breath at high elevation occurs due to reduced atmospheric pressure and lower oxygen levels, which can make it harder for the body to obtain the oxygen it needs. As altitude increases, the air becomes thinner, resulting in less oxygen available for respiration. The body may respond by increasing breathing rate and heart rate, but this adjustment can be insufficient, particularly for those not acclimatized to high altitudes. This can lead to symptoms of altitude sickness, including shortness of breath.

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