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One of my dogs was given a similar diagnosis and prescription. Once I did some research, and stumbled upon the negative information about Hill’s Prescription Diet product you noted, I knew I had to find another way to deal with the issue. I read a comment online that said that the Hill’s product would certainly kill a dog long before the presence of urinary crystals would. Scary.
The article in the link provided by Hound Dog Mom is EXCELLENT! We assume that our vets have all the answers, but I have taken my dog to three vets who all buy into and perpetuate the myths noted in the article. You really need to educate yourself and figure out what works for you and your dog. My dog’s case is not severe, so for us, what works is a combination of vitamin C, apple cider vinegar, and encouraging an overall increase in water intake. It’s easy to monitor urinary pH levels at home in order to get a general sense of what’s going on.
Best of luck to you and your dog!