[C4D]

Hi Vicky T,

I’m sorry that you’re vet didn’t sound very helpful. Mine was adamant about using the Sub-Q’s and giving famotadine (Pepcid AC) to help with the metabolic acidosis that is a part of kidney disease. That’s the reason he doesn’t want to eat. Imagine trying to eat when you have terrible acid indigestion. It’s generally given 1/2 hour before feeding. You also need to bind the phosphorus with the meal. That’s the reason for the calcium, whether is a natural source (ground eggshell) or premade (i.e. epakitin).

http://www.dogaware.com/health/kidneymedical.html

Here’s the link, from the dogaware site I linked above, that contains the table of phosphorus content of various proteins. Since she is in moderate kidney failure, I would stay with muscle meat. Canned Salmon and Mackerel are very high in phosphorus compared to many other protein sources. The kidney and liver are as well. By comparison raw green tripe (you can find these in some dog stores as frozen). Do not use the bleached white tripe found in the grocery store for people.

http://www.dogaware.com/health/kidneytable.html