“…This suggests that exhaled NO is unaffected by growth and development at high‐altitude, which is a common mode of adaptive response to high altitude hypoxia (Beall et al, ; Frisancho & Baker, ; Monge, ; Malik & Singh, ). Finally, differences in exhaled NO between males and females, and differences between the US reference group and the Quechua sea‐level groups, strongly suggest that much of the overall variance that we observed in exhaled NO has little to do with the adaptive response to hypobaric hypoxia, and perhaps more to do with unmeasured local environmental conditions, for example, pollution leading to lung inflammation (Dressel et al, ; Dweik et al, ; Shang et al, ), or population level characteristics that were not measured, for example, fitness‐level (Green, Maiorana, O'Driscoll, & Taylor, ; Jungersten, Ambring, Wall, & Wennmalm, ), diet (Iijima et al, ; Larsen, Ekblom, Sahlin, Lundberg, & Weitzberg, ) and so forth.…”