This study analyzed markers of oxidative stress and antioxidant levels in elite swimmers during different altitude training strategies over 3-4 weeks at moderate altitude (2320m). The strategies included training at high or low altitude, or alternating between the two. Oxidative damage markers generally increased over time at altitude for all groups. However, antioxidant levels like glutathione were maintained, suggesting adequate antioxidant defenses. The group training continuously at high altitude showed higher free radical levels at week 2, indicating a greater health risk with that strategy. Overall, 4 weeks of altitude training increased oxidative damage but antioxidant defenses were maintained.