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Low U Osm on presentation indicates: Too little solute to keep up with normal fluid intake (tea-toast syndrome) [41] Too much fluid despite normal solute intake (primary polydipsia) [42] [43] Some combination of low solute and high intake of hypoosmolar fluid (beer potomania) [44] Low U Osm can also occur in the setting of acute illness, in which many patients will push large volumes of hypotonic fluids (i.e., sports drinks) in the setting of GI losses

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