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Symptoms of hypokalaemia may include: Muscle weakness or cramps , often affecting the legs Fatigue and generalised lethargy Constipation due to reduced smooth muscle activity Palpitations or irregular heartbeat (arrhythmias) Paraesthesia (tingling or numbness) In severe cases, muscle paralysis or respiratory difficulty Hypokalaemia is particularly concerning in patients with cardiovascular disease or those taking digoxin, as low potassium increases the risk of dangerous arrhythmias