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  1. Answer: While some pet owners choose to feed their cats raw diets, it is important to be cautious when feeding raw food to cats with kidney disease. Raw diets can be high in phosphorus and may not provide all of the essential nutrients that your cat needs.

    • Telmisartan Oral Solution
    • Capromorelin Oral Solution
    • Nutrient-enriched Water
    • AST-120

    Approval status:U.S. Food and Drug Administration (FDA) approved (2018) Manufacturer: Boehringer Ingelheim Animal Health (bi-animalhealth.com) Mechanism of action: Telmisartan is an angiotensin II receptor blocker, with specificity for the type 1 receptor.5 Activation of this receptor subtype has numerous deleterious effects on the vasculature, hea...

    Approval status:FDA approved (2020) Manufacturer: Elanco Animal Health (elanco.com) Mechanism of action: Capromorelin is a ghrelin receptor agonist.13 Ghrelin is often referred to as the hunger hormone, as it is released from the stomach during the interprandial interval and acts on the hypothalamus to trigger powerful food-seeking behaviors. It al...

    Approval status:Not applicable (over the counter) Manufacturer: Purina (purina.com) Mechanism of action: Hydra Care is a poultry-flavored opaque liquid containing amino acids from whey protein, hydrolyzed protein from poultry, and glycerol; sodium and phosphorus content are minimal.18 Indication: Hydra Care is designed to address the issue of subop...

    Approval status: Not applicable (over the counter) Manufacturer: Dechra Veterinary Products (dechra-us.com) Mechanism of action: AST-120 is a carbon-based adsorbent. These agents are engineered particles that draw molecules deep within their physical structure using van der Waals forces and are routinely used for the removal of toxins from the bloo...

  2. When compared with normal maintenance adult cat food, a kidney support diet contains less protein, sodium, and phosphorus, and increased omega-3 fatty acids. These diets are formulated to help cats with CKD avoid metabolic acidosis and are available from your veterinarian.

  3. While chronic kidney disease (CKD) can occur at any stage of life, its prevalence increases with age.1,2 Research has reported that cats have an approximately 20–40% greater risk of developing CKD with each passing year.1,3.

  4. The goal when recommending a specific food and dose is to maintain stable, healthy body weight. Monitoring kidney function, hydration, body weight, BCS, and MCS is key to catching any decline quickly. If cats are unable to maintain weight on their own, intervention is essential.

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  6. Based on evidence from clinical studies, the IRIS Board suggests renal diets be considered for cats with IRIS CKD Stage 2 and recommend feeding renal diets to cats with IRIS CKD Stages 3 and 4. As of yet, it is unclear what the recommendation should be in patients with IRIS Stage 1 disease.

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