[Shawna]

Hi Keira,

So sorry to hear about your baby!!

Diagnosed as stage 4 but has no symptoms other than urinating inappropriately? That’s odd. It would be really helpful to know the results of the original blood panel (before starting the prescription diet) when discussing foods and supplements. As the BUN and creatinine get more elevated you need to start limiting phosphorus (as it can build up in the system and damage the kidneys) and protein (as it contributes to symptoms – but NOT to damaging the kidneys)). Example – in the later stages of the disease egg yolks should be increasingly limited because of the higher phosphorus content in them. Ask you vet for a copy of your pup’s blood work if you don’t already have it and then let us know the values.

Nitrogen trapping is helpful at any stage of renal failure but becomes the most noticeably beneficial when you start seeing symptoms – vomiting, inappetance, possibly lethargy or depression etc. In order to create a nitrogen trap you absolutely need a probiotic (however I’m not sure which bacteria is involved in nitrogen trapping so I recommend using one with a WIDE variety of beneficial microbes – one like Garden of Life Primal Defense (human product)). When my Audrey was diagnosed with KD at age one (she was also given a year to live but lived to just shy of age nine) I tried multiple different fiber sources (which are also considered prebiotics – feed the microbes in the gut). Some of the prebiotics (such as apple and grapefruit pectin or the fiber in the grain barley) had a negative impact – the pectins made her symptoms worse and she had a food sensitivity to the barley. I ended up using acacia fiber for her from age one and half(ish) to when she passed. Garden of Life has an acacia fiber product as well but NOW brand makes one and there are a few others.

“Standard Process Renal Support” is the one supplement that my girl NEVER did without. It helps in many many many ways including giving the kidneys the nourishment they need to preventing inflammation from damaging the kidneys further. The Standard Process brand have specific products (called protomorphogens) that help with inflammation. There are other things I used for Audrey or would recommend – such as turmeric bombs / balls, Evian bottle water (lower in sodium then some others and a type of calcium very easily used by the body), activated charcoal, spirulina, chlorella and so on.

Your current diet doesn’t have a source of calcium listed which is VERY important.. If you can give us her actual info from the blood panel we can more easily recommend the right diet for you.