Hi K.C.
Depending on the degree of the medical concerns you may need to home cook to manage both concerns. Any “over the counter” food will have a phos level higher then recommended for kidney insufficiency. Has your vet looked at the other companies kidney diets to see if they are appropriate? Hills G/D could be an option. It is geared for early kidney insufficiency but has a lower fat level than the K/D formula. (I’ assuming your dog was on K/D and not RD as R/D is a food with low fat high protein for weight loss.) Iams’ renal is higher protein than G/D but also lower fat. Good Luck
