Hi there Scott Sims
Thanks for using QandA platform
its responsible for features and integrations within SQL Server, like as data processinge etc
if it's consuming all available memory, it could be due to several factors, such as heavy queries o operations running on the server, l leTading to high memory usage
you can check the queries or workloads being executed, review SQL Server logs for any related errors, and ensure that memory settings are correctly configured.
If nothing works i suggest you to raise a support request link is below.
https://portal.azure.com/#view/Microsoft_Azure_Support/HelpAndSupportBlade/~/overview
If this helps kindly accept the answer thanks much.