First, that serum Na shouldn't be the cause of your symptom and I can say that with 100% certainty. However, urine osmolality of 910 mOsmol/kg is quite unusual unless you have been advised to restrict you fluid intake because of hyponatremia and low volume can be the cause of muscle cramp & fatigue. If you aren't fluid restricted and pseudohyponatremia is ruled out, SIADH could be the cause.
Answered 1/25/2023
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