Not sure when the company changed formula on the low glycemic turkey but it clearly has a LOT more organ meat in the form of often large chunks with gristle attached in addition to big chunks of gristle. I checked their website and the bag, they don’t refer to being “restaurant grade” anymore. I was feeding my little IBD dog this food due to frequent pancreatitis which she had another bad attack of that led me to investigate the food again. I am suspicious that she had a hard time digesting the large chunks and the gristle as Google tells me that stuff is high in cholera and saturated fat. I’m picking it out for now, until we can switch to a different brand and formula.