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Other reasons for potassium loss You may also develop hypokalemia if you: Vomit a lot Take laxatives often Often have diarrhea Have low levels of magnesium in your blood (hypomagnesemia) Drink too much alcohol Sweat a lot Have a folic acid deficiency Take certain antibiotics Have high levels of acids called ketones in your blood when you have diabetes (diabetic ketoacidosis) Have malnutrition Take some asthma medications Its possible, but rare, to get hypokalemia from having too little potassium in your diet