Refeeding syndrome is defined as a potentially fatal shift in fluids and electrolytes, which may occur in malnourished patients receiving rehabilitative refeeding. A young man presented with muscle weakness and leg pain. He had adhered to a strict low-carbohydrate, low-calorie diet for five months in preparation for a bodybuilding competition. He ate a large amount of carbohydrate rich foods and consumed water immediately after the competition. Laboratory findings showed hypophosphatemia, hypokalemia, and elevated levels of serum creatine phosphokinase. This case of rhabdomyolysis was caused by refeeding syndrome in a young man who had followed a strictly controlled diet.