Fatigue, night sweats, gastro disturbance, low sodium.ct chest/an/pel clear. some muscle loss but abdominal fat gain. out of ideas. any suggestions?

Work up: Start with a thorough history and complete physical examination by a specialist in internal medicine. After that assessment appropriate tests will be ordered and possibly referrals to consultants in infectious disease and gasrtoenterology will be recommended.

???: I'm not sure if you have a doctor, any doctor, following your case, you definitely have, and the burden of reaching a provisional or a final diagnosis is on the doctor, not the patient, although the patient is encouraged to have his/ her input. Any diagnosis / suggestions given on this platform without full clinical picture or more information,would confuse you more, that's how I see it,good luck