A high-carbohydrate, high-salt diet, alcohol consumption, trauma, menstrual cycle, infections (including viral gastroenteritis), certain medications (e.g., steroids, diuretics, epinephrine, acetazolamide, and insulin), and strenuous exercise are potential precipitating factors for THPP in patients with underlying thyrotoxicosis [10]. Here, INS is linked to thyrotoxicosis.