Actually, I did the PROTE two years ago. I could still do math problems after 5 min at 25000.
The operator finally said “put your mask on”. I said I was good. He said he wasn’t going to open it up until I put it on. So I did.
I just get very fatigued. I was breathing like Dr. Blue said about 20 years ago. I practice sometimes when I’m flying up high. It takes practice. When you are in the high teens, put on your pulse ox and take off your oxygen and practice breathing to see how high you can keep your SpO2. At 18000 I can usually keep it in the 90s. Just barely. If you start feeling stupid, put your oxygen back on.
The breathing is to inhale as deeply as possible, slowly, then hold it for a few seconds, then slowly exhale as deeply as possible. Pushing as much air out as you can. Then repeat of course. It takes practice. There is an urge to breathe fast and shallow. That is bad. With practice the urge goes away.