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A hidden cause of hypokalemia

A 21-year-old-man presented to the emergency department with increasing fatigue and psychosis symptoms. He had experienced no nausea, vomiting, diarrhea, chest pain, dyspnea, or urinary symptoms. He was not on any prescribed or over-the-counter medications or herbal supplements, and he denied smoking and alcohol consumption. Recently, he observed a 20-lb weight gain over 6 weeks.

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