Stage 1/2kidney and confused.

[JeffC]

I'm new here. I attached my 12 year old's blood/urine report from last week. She was diagnosed with kidney disease in April and has improved her markers when I did the following: phosphate binders, HILLS KD kibble, Amino B plex, fish oil.
1.Supplement-wise--Anything I should omit or add based on aforementioned?
2.What's a good range of crude protein % I should aim for? Most vets tell me to lower protein but isn't that incorrect or depends?
3.Any kibble worth feeding? And I assume go with homemade but hard to adhere 100%?
4. Despite improving blood numbers she's lethargic and inflamed skin.

 

[Dr. Christina]

Welcome, and I am not surprised you are confused. The goal I learned in veterinary university was to treat the blood work, the Xrays, and stop any symptoms. After I graduated in 1980 I was surprised how many dogs and cats did not thrive on those treatments.

Fast forward decades and I now know (having started with homeopathy in 1982) that our main goal as veterinarians and pet parents is quality of life. This is best achieved when we soothe any annoying symptoms while we rebalance the energy field with energy medicines like homeopathy, chinese medicine, osteopathy and more.

Do not feed kibble. Period. Especially with cats with kidney disease. Feeding a fresh food diet, raw or lightly cooked, rather than a prescription diet that is not providing vitality, is the best. Canned when you are in a pinch, or if a cat will not eat fresh food. You can feed eggs, dairy (raw goats milk is great), fish (in small amounts) and any meats.

You will likely see an improvement in the lethargy after a short time, even a few days.

Immediately, go to how to find a holistic veterinarian, read the entire article and follow the directions carefully. Takes time and is the only way to learn who is near you. Put together a team - vets of different approaches, energy healers, animal communicators. Several homeopathically trained veterinarians who can work virtually include Adriana Sagrera - Natural Pet Care - Metairie / New Orleans, Louisiana - Dr. Adriana Sagrera, DVM, Kristina Fleming - Learn more here: lifeabundant.us or Contact Kristie via the website or via email: [email protected], Monica Turenne - Virtual Vet Visits in Michigan & Ohio | Veterinary Telemedicine | Dr. Turenne

Next, take the 101 holistic course, then go to the resources -- library -- click on urinary and read, then watch the different webinars.

Then you can learn more from community members, so go to the forum and search for kidney disease/renal/etc.

Keep us posted
Dr. Christina

 

[Dr. Jeff]

Welcome to HA! Jeff, and thanks for making your first post.

I'm sorry to hear about Seneca's diagnosis. You're doing an incredible job. Her values are not only slightly better, but now they are totally normal. This is very, very uncommon unless she had a course of intravenous fluids and a 2-3 day stay in the hospital back when she was diagnosed.

has improved her markers

Yay!!

1.Supplement-wise--Anything I should omit

Perhaps omit the k/d and add rotating probiotics starting with Azodyl (a kidney dis-ease specific probioltic), then use the Adored Beast Wolf, Fido's Flora, etc.

Most vets tell me to lower protein but isn't that incorrect or depends?

I wouldn't change the protein of her food. Focus more on using fresh (real) vs. processed (kibbles and cans) food.

3.Any kibble worth feeding?

No. Petaluma, Carna4 and Earth Animal's Wisdom food can be used as treats if she really loves kibble.

And I assume go with homemade

Yes.

hard to adhere 100%?

Freeze dried raw and Honest Kitchen are other options.

4. Despite improving blood numbers she's lethargic and inflamed skin.

Time for the Happiness Protocol:

The Happiness Protocol in Your Pet's Life

At HA! we are committed to much more than helping pets become dis-ease free. We promote restoring and maintaining vitality, balance, energy, & happiness.

www.holisticactions.com

HA! Happiness Protocol: 7 Ways to Optimize Your Pet's Life

How can you empower your pet to live their happiest life? Here are seven activities to implement and boost your pet’s behavior, energy, appetite, and mood.

www.holisticactions.com

Breathing: A Powerful and Surprising Way to Increase Your Pet’s Health and Happiness - Holistic Actions!

www.holisticactions.com

 

[JeffC]

Welcome to HA! Jeff, and thanks for making your first post.

I'm sorry to hear about Seneca's diagnosis. You're doing an incredible job. Her values are not only slightly better, but now they are totally normal. This is very, very uncommon unless she had a course of intravenous fluids and a 2-3 day stay in the hospital back when she was diagnosed.

Yay!!

Perhaps omit the k/d and add rotating probiotics starting with Azodyl (a kidney dis-ease specific probioltic), then use the Adored Beast Wolf, Fido's Flora, etc.

I wouldn't change the protein of her food. Focus more on using fresh (real) vs. processed (kibbles and cans) food.

No. Petaluma, Carna4 and Earth Animal's Wisdom food can be used as treats if she really loves kibble.


Yes.

Freeze dried raw and Honest Kitchen are other options.

Time for the Happiness Protocol:

The Happiness Protocol in Your Pet's Life

At HA! we are committed to much more than helping pets become dis-ease free. We promote restoring and maintaining vitality, balance, energy, & happiness.

www.holisticactions.com

HA! Happiness Protocol: 7 Ways to Optimize Your Pet's Life

How can you empower your pet to live their happiest life? Here are seven activities to implement and boost your pet’s behavior, energy, appetite, and mood.

www.holisticactions.com

Breathing: A Powerful and Surprising Way to Increase Your Pet’s Health and Happiness - Holistic Actions!

www.holisticactions.com

 

[JeffC]

Any opinion on this? In the last part they said use phosphate binders sparingly..What is the issue with using phosphate binders? .This is from Wynwood Food Company in Miami.

DO I NEED LOW PROTEIN IF MY DOG HAS RENAL DISEASE?​

No, your dog most likely does not need a low protein diet if they have kidney disease.
There is a paradigm shift that is happening with respect to protein and renal disease, in both cats and dogs. There was never any evidence protein caused the progression of renal disease (tubulointerstitial disease) as it does in rodents and potentially in humans. The studies that were performed on phosphorus restriction using normal commercial diets were always protein restricted due to manufacturing constraints from the large pet food manufacturers. Because the large pet manufacturers tend to use meat meals (protein with high bone/ash content) they are unable to lower phosphorus content without lowering protein content, as phosphorus is found in bone. Therefore, there was a dramatic linear relationship between phosphorus content and the protein content. When experimental studies were performed as early as the 1980s assessing dietary phosphorus and protein independently, it was found that phosphorus was the only determinant of progression (due to renal secondary hyperparathyroidism). We recognize, more noticeably in cats, that in end stage kidney disease, loss of muscle / lean mass occurs fairly profoundly. Wynwood Dog Food’s renal diets are high in lean protein, allowing us to keep phosphorus at or below the amounts in commonly prescribed therapeutic commercial renal diets. This increases palatability, seems to preserve lean body mass and allows us to use phosphorus binders more sparingly.
food company in Miami

 

[JeffC]

Thanks. One issue: she started taking galliprant in November 2024-April 2025. Could this lead to kidney values 'jump' in her blood report?
I attached the old blood report in April 2025. In it her creatinine,lymophcyte, SDMA and urine(PH and Protein) were high...
For example, CREATININE 1.7
SDMA 18.9

 

[JeffC]

Welcome, and I am not surprised you are confused. The goal I learned in veterinary university was to treat the blood work, the Xrays, and stop any symptoms. After I graduated in 1980 I was surprised how many dogs and cats did not thrive on those treatments.

Fast forward decades and I now know (having started with homeopathy in 1982) that our main goal as veterinarians and pet parents is quality of life. This is best achieved when we soothe any annoying symptoms while we rebalance the energy field with energy medicines like homeopathy, chinese medicine, osteopathy and more.

Do not feed kibble. Period. Especially with cats with kidney disease. Feeding a fresh food diet, raw or lightly cooked, rather than a prescription diet that is not providing vitality, is the best. Canned when you are in a pinch, or if a cat will not eat fresh food. You can feed eggs, dairy (raw goats milk is great), fish (in small amounts) and any meats.

You will likely see an improvement in the lethargy after a short time, even a few days.

Immediately, go to how to find a holistic veterinarian, read the entire article and follow the directions carefully. Takes time and is the only way to learn who is near you. Put together a team - vets of different approaches, energy healers, animal communicators. Several homeopathically trained veterinarians who can work virtually include Adriana Sagrera - Natural Pet Care - Metairie / New Orleans, Louisiana - Dr. Adriana Sagrera, DVM, Kristina Fleming - Learn more here: lifeabundant.us or Contact Kristie via the website or via email: [email protected], Monica Turenne - Virtual Vet Visits in Michigan & Ohio | Veterinary Telemedicine | Dr. Turenne

Next, take the 101 holistic course, then go to the resources -- library -- click on urinary and read, then watch the different webinars.

Then you can learn more from community members, so go to the forum and search for kidney disease/renal/etc.

Keep us posted
Dr. Christina

Thanks Christina. I never heard of homeopathic before. I'll look into the holistic courses. A question is why do vets always recommend Hills or big manufacturers? Are they getting a kick back?

 

[Dr. Jeff]

Any opinion on this?

Yes!

What is the issue with using phosphate binders?

Using a binder with AlOH2 (aluminum hydroxide) may be what they mean. Using aluminum can be problematic.

Could this lead to kidney values 'jump' in her blood report?

IMHO, yes. As you learn more about the energetic paradigm and homeopathy you'll see that interfering with the body's normal molecular mechanism (using "antis" like the anti-inflammatory Galliprant) can be problematic.

 

[JeffC]

Yes!

Using a binder with AlOH2 (aluminum hydroxide) may be what they mean. Using aluminum can be problematic.


IMHO, yes. As you learn more about the energetic paradigm and homeopathy you'll see that interfering with the body's normal molecular mechanism (using "antis" like the anti-inflammatory Galliprant) can be problematic.

hi Dr.Jeff, You mentioned azodyl. But if I use per instruction, it would be 4 pills a day, and it costs 80 dollars a month. Kinda costly... Should I give that amount of azodyl?