a shopping cart full of groceries will have more inertia because it will have more force to apply as compared to an empty shopping cart.
Depending on baseline oxygen saturation and the pathological condition of the lungs, risks associated with altitude exposure include profound hypoxemia, pulmonary hypertension, disordered ventilatory control, impaired respiratory muscle function, and sleep‐disordered breathing.
I believe the correct answer is acid rain.
Transpiration is the main driver