I'm not the fittest person, but I did manage Machu Pichu, and was I glad ! It is absolutely amazing, and brings you to ask many questions, how, being one of them. It is really one of the wonders of the world. I didn't have a tour, or a guide, and managed perfectly. I took my time and wandered around at my own pace, taking in the beauty. The town down below, Aquas Calientes, is a bit of a tourist trap. I'd suggest staying in Ollantaytambo, and taking the early train from there.
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