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High Altitude living Hypoxemia
47 y/o F. I live at 9,OOO ft. My daytime resting pulse is 36,Doc says 36 resting pulse is intrinsic.  My EPO levels and RBC's are high. I was diagnosed with Hypoxemia.  TSH slowly rising from 1.7 to 3.0 now. Pulse Ox is 88-93. SOB sometimes on exertion and Running - pulse Ox 77. Sleep apnea test - neg. I don't consider myself an athlete just average.- My problem is, I go into town some 4,000ft lower in elevation and do treadmill and echo and things look great.  Should I have a concern about CMS? Chronic Mountain Sickness? And is hypoxemia something to be worried about?  
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