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Hormone studies confirmed hyperthyroidism due to Graves disease. A smaller dose of K+ supplementation (only a total of 50 and 70 mmol K+, respectively) were prescribed for the patient. After treatment, their serum K+ levels became normal with a full recovery of muscle strength. Our 2 cases highlight the fact that thyrotoxic periodic paralysis must be still kept in mind as the underlying cause of hypokalemia with paralysis and hypertension in elderly patients to avoid missing curable disorders. Our 2 cases highlight the fact that thyrotoxi