- Hi, I am new here and would like to get your opinion for my male cat Dexter, who is a 10 year old Arabian Mau and weighs 9.5lbs. He was recently diagnosed with chronic kidney disease. This does not seem to affect his energy and appetite. His diet currently consists of a grain free, preservative free wet food (www.thrivepetfoods.com) and he only likes the sardine and mackerel or tuna flavors. His vet wanted me to put him on renal dry food diet, but this made no sense to me as the ingredients were terrible and he no longer eats dry food, so why do it now when he needs hydration most. We compromised with my vet to just add a sprinkle of a binder on his wet food that removes the extra phosphate that seems to be the problem for cats with kidney issues. It is called EPAKITIN and the active ingredients are Calcium Carbonate and Chitosan, but unfortunately it also contains Hydrolyzed Soy Protein and Lactose as inactive ingredients. His numbers did seem to improve a bit so we are still giving his 1/8 tsp per day as prescribed. And he is due for his next bloodwork in July, as the vet told us we need to do tests twice a year now. I would really appreciate any guidance regarding what the ideal diet is for cats with kidney disease, whether a binder in necessary (or a better version available) and what other supplements are critical to add to his diet to take better care of him and manage his condition. I am attaching his latest blood results, before (Nov 21) and after (Jan 22) introducing the binder for a few weeks. I appreciate your help so much! @Dr. Jeff



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