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pseudomonas
Mar 31, 2010

its all nice on rice posted:

One of our dogs recently got diagnosed with kidney disease :( She's a 13 year old mini Aussie and, other than the kidneys, is in pretty good health.
According to the vet, it's in the early stages, and we can add another 1-2 years to her life if we treat it. The vet gave us a prescription for some food designed for kidney disease, but we, of course, have been doing some of our own research.
The food that was recommended is a Hill's (not surprised since it seems to be in every vet's office) dry kibble, and from what we've found, wet, fresh food looks to be the best option?
My fiancee is willing to do, pretty much, anything to further Sydney's life for as long as possible (within reason). She's had this dog since she was a tiny ball of fluff.
One food that seems to up a lot is the Dr Harvey's "miracle" dog food. Has anyone had experience with it or any other foods that are good for an older dog with kidney disease? Should we be spending $75 on ~30-45 days of a mixture + fresh protein & oil to mix it with, or will the dry kibble be fine?

That food looks real dumb. The vet has recommended the prescription diet because it is the best food to prolong your dog's life. Prescription diets are made with very specific and strict nutrient profiles that can't be replicated by a regular home made diet. Which is why vets stock and recommend them.

Basically when your kidneys aren't working properly they cant filter toxic metabolites out of the blood properly. The build up of these toxic metabolites makes the animal sick (nausea, oral and intestinal ulcers, damage to red blood cells). The major culprits are urea and phosphorus (there is also electrolyte fuckedupness going on but we'll keep it simple). Urea is a breakdown product of protein and protein is also high in phosphorus.

So presciption renal diets are severely protein limited, just providing enough highly digestible protein for metabolism and to maintain muscle mass and no more. So the amount of urea and phosphorus the kidneys have to process is kept as low as possible. It is higher in carbs and fat to provide energy to make up for the low protein, limited in salt, limited in calcium (because the kidneys get bad at filtering that out too), higher in potassium (because unlike the other things, the kidneys get bad at keeping enough inside the body). Plus other trickery like appetite stimulants, phosphate binders and nutrients to reduce oxidative stress.

Prescription renal diets are clinically proven (with actual clinical trials published in peer reviewed journals) to slow progression of disease, prolong life and reduce symptoms of kidney disease.

Your other option is "miracle food" where you buy their woo woo grain and vegetable mix, add less meat and more water than you would for a healthy dog, then everything else works itself out through the magic of ~whole foods and super nutrition~ :allears: Good luck doing all the things above with a home made diet, based around a food that doesn't even provide a information on nutrient content.
Did you notice that the website also says "Dr Harvey's products are not intended to diagnose, treat or cure any disease"

If you don't like Hills, Royal Canin also make a prescription renal diet. If you really want a home made diet, balanceIT will provide you a renal diet recipe made by a veterinary nutritionist that is complete, balanced and appropriate.

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