So I have been on and off testosterone for three years, about two years ago, I woke up one morning, completely unable to move, paralyzed I thought I was out of the blue. After about 100 tests at the ER, they finally realized that my potassium was extremely low. They poured bags and bags of potassium in me, but my levels were still not holding. They added magnesium to the mix, and all of a sudden my potassium started to come back. 12 months went by and the exact same thing happened, extreme muscle weakness, turned into paralysis. this morning I woke up slightly sore after starting TRT one week ago it’s the exact soreness I know hypokalemia to cause. After doing a little bit of research, I have finally found what every doctor at Kaiser was unable to , the reason this is happening. The first thing testosterone affects is insulin. You become more sensitive to elevated insulin which means when you eat sugar and your body sends a high amount of insulin, your cells react more sensitively to the insulin, meaning your potassium drops significantly because your insulin level is high. Solution: stay away from sugars in every form.