№ 1
Altitude sickness
Cusco · Kilimanjaro · Everest Base Camp · the high Rockies
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Pre-travel medications · prescribed online · $49 flat
Altitude in the Andes. Malaria on safari. A stomach that meets street food. Tell us where you’re going — a board-certified physician reads your itinerary against CDC guidance and prescribes what the route actually calls for. Prescriptions at your pharmacy, often the same day.
No insurance needed · HSA/FSA eligible · adults in MA · CT · NY · PA · MD · VA · WI
What we prescribe
№ 1
Cusco · Kilimanjaro · Everest Base Camp · the high Rockies
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№ 2
Safari country · the Amazon · Southeast Asia’s borderlands
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№ 3
Street food · mountain villages · anywhere worth eating
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№ 4
Galápagos crossings · ferries · switchback roads
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01 — Chart your route
Five minutes: where you’re going, when, and the health questions that decide which medications are safe for you.
02 — A physician reads it
Dr. Adam Z. Kawalek, MD (board-certified, Brown → Mount Sinai → Johns Hopkins faculty) reviews your itinerary against CDC destination guidance — every case, personally.
03 — Pharmacy, packed
Prescriptions go to your pharmacy — inexpensive generics, often same-day — with a written plan for exactly how and when to take everything, and which shots (if any) still need a clinic.
Said plainly, before you pay
Injected travel vaccines — yellow fever above all — legally require certified in-person clinics, and no online service can mail you one. What we do instead: your plan names exactly which shots your route needs and where to get them, so one $49 consult still organizes the entire trip.
Field guides
Destination guide № 1
Cusco sits at roughly 3,339 meters — about 11,000 feet — and most visitors fly into it directly from sea level. That single fact drives almost everything about preparing for this trip.
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Destination guide № 2
A safari is a malaria itinerary — that is the central planning fact. CDC lists risk in all areas of Kenya below 2,500 m including the game parks, and all of Tanzania below 1,800 m, with the dangerous falciparum species predominating.
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Destination guide № 3
Southeast Asia’s mainstream tourist trail is friendlier than its reputation: for the places most itineraries actually go, CDC recommends no malaria pills at all. The honest work is knowing where that stops being true.
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