A 47-year-old south Asian man was referred to our hospital from a detention center for generalized weakness and severe hypokalemia (1.9 mmol/L). The patient noted that his symptom of muscle weakness had been present for several weeks. He had a 6-year history of hypertension managed with lisinopril and amlodipine. Spironolactone was recently added. Due to the critically low potassium results, treatment with high-dose oral and intravenous potassium was initiated before investigating the underlying origin of his hypokalemia. Following correction of hypokalemia, he was referred to our healthcare system.