Supplements for Home made cat food for CKD kitties

seven

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i'm about crazy trying to feed my cat now that he was diagnosed a month ago with CKD. What supplements are safe for him with CKD  to replace the vitamins, minerals and amino acids (besides taurine)? I have read not too much magnesium, or calcium. He has the beginnings of oxalate stones in the kidneys.

The vet had said Kids Complete but they are fruit flavor and if I put them in food he won't eat it. 

I also bought Ubiquinol for pets (Mercola) and then when it came it has .5% silica and I don't know if that is too much for compromised kidneys.  

He is on Epakitin and Clavamox (antibiotic) Taurine and Prevacid and he needs supplements at least until I find a grain free, carrageenan free, low phosphorus, good quality protein food. One kidney is inflamed and it would be nice to find a safe anti-inflammatory product if I can't use the Ubiquinol. 

CKD sucks. I think it is the worst disease that I have encountered and I have cared for elderly relatives, dogs and cats. 
 

mschauer

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I don't have any personal experience with CKD kitties but I've helped people develop a raw or cooked home-made diet for their CKD based on a phosphorus level recommended by their vet.

If you would like to PM me I can help you with a home-made food tailored for your kitties needs. 
 
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seven

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In month since last labs his BUN didn't change but Creatinine has exploded. He was on baby food which was temporary because low in phosphorus but high in protein, and 200 ml subcutaneous (Normosol R every other day). Stem cell as soon as possible. Vet doesn't know what it is but suspects some inflammatory condition. 
 

catmom203

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I found this thread searching on the topic. Obviously this is a very common problem. I was able to get a recipe for chicken thighs that someone got from Dr. Pierson for $300! I made it like a pate, which was his preferred wet food with just the chicken calcium and butter to see if he would eat it and he didn't. I'm sure glad I didn't pay the money for it because her recipes are not guaranteed to be eaten. 

What information do you need? 
If you want you can email me directly at [email protected]

He was eating chicken baby food but has developed an aversion to that flavor. Won't eat turkey either. Will eat some ham but he needs 400 calories a day to maintain his weight and ham is bad on phosphorus and even with Epakitin I don't really want to do more than one can a day. 

He would eat Soulistic Good Karma until today. That is caregeenan free, BPA free. 

I'm about crazy dealing with this. 
 

ritz

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I'm glad I found this thread, too. mschauer mschauer helped me a lot with Ritz' raw diet. Now I need help with Dahalia, who is just shy of one year old and has had very abnormal to high normal creatine levels (BUN normal) since I rescued her. Best guess by the vet and the vet who did the ultrasound is something she ingested right before I rescued her was toxic and damaged her kidneys somewhat. I do not want to put her on special kidney diet for many reasons. I will pm you, mschauer mschauer soon. You're a godsend.
 

catmom203

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Did you hear from mschauer? I would appreciate their help also. 

I did find some recipes online that I hadn't seen before. I tried a sample of one tonight making 1/4 of the recipe and he didn't eat it but has been off on food a couple of days this week. He only had 331 calories so far in the last day. I usually count calories 12 midnight to 1159 but he regurgitated his breakfast and wouldn't eat and he is behind schedule so I will try "sleepy feeding for a few hours and see if I can get him closer to his daily minimum (to hold his current weight) of 400.

Here are the receipes that I found:

http://dogcathomeprepareddiet.com/diet_and_chronic_renal_disease.html

Diets for Management of Chronic Renal Disease in Cats     
Chicken and Rice
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium 
Diet Providing 55 Grams Protein/1000 Kcalorie Diet
1/4 cup cooked chicken breast (72 grams)
1/2 ounce clams, canned, chopped in juice (14 grams)
1/2 cups cooked rice, white polished, long-grain (80 grams)
1 tablespoons chicken fat (14grams)
1/8 teaspoon salt substitute-potassium chloride
1 calcium carbonate tablets (400 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 297 kcalories, 16.3 g protein, 14.5 g fat
See table for caloric needs of cats
provides phosphorus 48%, potassium 215%, sodium 169% of a cat's daily needs
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder for the 1 calcium carbonate tablet​
Chicken and Rice
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium 
Diet Providing 46.4 Grams Protein/1000 Kcalorie Diet
1/4 cup cooked chicken breast (72 grams)
1/2 ounce clams, canned, chopped in juice (14 grams)
1 cups cooked rice, white polished, long-grain (160 grams)
1 tablespoons chicken fat (14 grams)
1/8 teaspoon salt substitute-potassium chloride
1 calcium carbonate tablets (400 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 399 kcalories, 18.5 g protein, 14.7 g fat
See table for caloric needs of cats
provides phosphorus 43%, potassium 164%, sodium 124% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder for the 1 calcium carbonate tablet.​
Egg White and Rice
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium
Diet Providing 53 Grams Protein/1000 Kcalorie Diet
3 whites from whole chicken eggs, cooked
2 ounce clams, canned, chopped in juice (57 grams)
1 cups cooked rice, white polished, long-grain (160 grams)
1 tablespoons chicken fat (14 grams)
1/8 teaspoon salt substitute-potassium chloride
1 ½ calcium carbonate tablet (600 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 312 kcalories, 19.7 g protein, 13.8 g fat
See table for caloric needs of cats
provides phosphorus 41%, potassium 341%, sodium 603% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder for the 1 1/2 calcium carbonate tablets​

Egg White and Rice
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium

Diet Providing 46.6 Grams Protein/1000 Kcalorie Diet
2 whites from whole chicken eggs, cooked
2 ounce clams, canned, chopped in juice (57 grams)
1 cups cooked rice, white polished, long-grain (160grams)
1 tablespoons chicken fat (14 grams)
1/8 teaspoon salt substitute-potassium chloride
1 1/2 calcium carbonate tablet (600 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 399 kcalories, 18.6 g protein, 13.9 g fat
See table for caloric needs of cats
provides phosphorus 41%, potassium 341%, sodium 603% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder for the 1 1/2 calcium carbonate tablets​
Eggs
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium
Diet Providing 54.2 Grams Protein/1000 Kcalorie Diet
2 cooked whole eggs, chicken
1/2 ounce clams canned, chopped in juice (14 grams)
1 tablespoon chicken fat (14 grams)
1/8 teaspoon salt substitute-potassium chloride
1 calcium carbonate tablet (400 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 308 kcalories, 16.7 g protein, 25 g fat
See table for caloric needs of cats
provides phosphorus 89%, potassium 274%, sodium 673% of a cat's daily needs. 
Bone meal need not be used in this diet to increase phosphorus content.​
Eggs and Rice
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium

Diet Providing 45.7 Grams Protein/1000 Kcalorie Diet
2 cooked whole eggs, chicken
1/2 ounce clams canned, chopped in juice (14 grams)
1/2 cups cooked rice, white polished, long-grain (80 grams)
1 tablespoon chicken fat (14 grams)
1/8 teaspoon salt substitute-potassium chloride
1 calcium carbonate tablet (400 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 411 kcalories, 18.8 g protein, 25.2 g fat
See table for caloric needs of cats
provides phosphorus 69%, potassium 189%, sodium 440% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute 1 grams bone meal powder added to 1/2 calcium carbonate tablet
 ​

Chicken and Potato
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium

Diet Providing 57.4 Grams Protein/1000 Kcalorie Diet
1/2 cup cooked chicken breast (142 grams)
1/2 ounce clams canned, chopped in juice (14 grams)
1/2 cup potatoes boiled in skin (62 grams)
2 tablespoons chicken fat (28 grams)
1 1/2 calcium carbonate tablets (600 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 453 kcalories, 26 g protein, 30.6 g fat
See table for caloric needs of cats
provides phosphorus 52%, potassium 198%, sodium 201% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder for the 1 1/2 calcium carbonate tablets​
Chicken and Potato
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium

Diet Providing 46.2 Grams Protein/1000 Kcalorie Diet
1/3 cup cooked chicken breast (95 grams)
1/2 ounce clams canned, chopped in juice (14 grams)
1/2 cup potatoes boiled in skin (62 grams)
2 tablespoons chicken fat (28 grams)
1 1/2 calcium carbonate tablets (600 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 418 kcalories, 19.3 g protein, 29.9 g fat
See table for caloric needs of cats
provides phosphorus 47%, potassium 198%, sodium 172% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder  for the 1 1/2 calcium carbonate tablets​
Beef and Rice
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium
Diet Providing 56.8 Grams Protein/1000 Kcalorie Diet
4 ounces (raw weight) lean ground beef, cooked (114 grams)
1/2 ounce clams canned, chopped in juice (14 grams)
1/2 cups cooked rice, white polished, long-grain (80 grams)
1 tablespoon chicken fat (14 grams)
1 1/2 calcium carbonate tablets (600 mg)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 443 kcalories, 25.2 g protein, 26.6 g fat
See table for caloric needs of cats
provides phosphorus 52%, potassium 123%, sodium 206% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute  2 grams bone meal powder for the 1 1/2 calcium carbonate tablets​

Beef and Rice
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium

Diet Providing 44.3 Grams Protein/1000 Kcalorie Diet
4 ounces (raw weight) lean ground beef, cooked (114 grams)
1/2 ounce clams canned, chopped in juice (14grams)
1/2 cups cooked rice, white polished, long-grain (80 grams)
2 tablespoon chicken fat (28 grams)
1 1/2 calcium carbonate tablets (600 mg)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 569 kcalories, 25.2 g protein, 40.5 g fat
See table for caloric needs of cats
provides phosphorus 45%, potassium 105%, sodium 175% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute bone 2 grams meal powder for the 1 1/2 calcium carbonate tablets.
Add 1/8 teaspoon potassium chloride to increase potassium content.​
Beef
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium
Diet Providing 55.3 Grams Protein/1000 Kcalorie Diet
4 ounces (raw weight) lean ground beef, cooked (114 grams)
1/2 ounce clams canned, chopped in juice (14 grams)
5 teaspoons chicken fat (24 grams)
1 calcium carbonate tablets (400 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 430 kcalories, 23.8 g protein, 35.8 g fat
See table for caloric needs of cats
provides phosphorus 50%, potassium 126%, sodium 234% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder for the 1 calcium carbonate tablets. 
Add 1/8 teaspoon potassium chloride to increase potassium content.​
Beef and Potato
Low Protein, Low phosphorus, Normal Potassium, Normal Sodium

Diet Providing 46.7 Grams Protein/1000 Kcalorie Diet
4 ounces (raw weight) lean ground beef, cooked (114 grams)
1/2 ounce clams canned, chopped in juice (14 grams)
1/2 cup potatoes boiled in skin (62 grams)
2 tablespoons chicken fat (28 grams)
1 1/2 calcium carbonate tablets (400 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 540 kcalories, 25.2 g protein, 40.5 g fat
See table for caloric needs of cats
provides phosphorus 46%, potassium 194%, sodium 185% of a cat's daily needs. 
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder for the 1 1/2 calcium carbonate tablets.​

Tuna and Rice
Low Protein, Low phosphorus, Normal Potassium, High Sodium

Diet Providing 53.4 Grams Protein/1000 Kcalorie Diet
3 ounces tuna, canned in water (86 grams)
1/2 ounce clams canned, chopped in juice (14 grams)
1/2 cups cooked rice, white polished, long-grain (80 grams)
2 tablespoons chicken fat (28 grams)
1/8 teaspoon salt substitute-potassium chloride
1 1/2 calcium carbonate tablets (600 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 468 kcalories, 25 g protein, 30 g fat
See table for caloric needs of cats
provides phosphorus 50%, potassium 190% of a cat's daily needs, sodium depends on using low salt tuna. 
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder for the 1 1/2 calcium carbonate tablets​
Tuna and Rice
Low Protein, Low phosphorus, Normal Potassium, High Sodium

Diet Providing 44.8 Grams Protein/1000 Kcalorie Diet
2 ounces tuna, canned in water (57 grams)
1/2 ounce clams canned, chopped in juice (14 grams)
1/3 cups cooked rice, white polished, long-grain (53 grams)
2 tablespoons chicken fat (28 grams)
1/8 teaspoon salt substitute-potassium chloride
1 calcium carbonate tablets (400 mg calcium)
1/4 multiple vitamin-mineral tablet
1/10 tablet B complex vitamin-trace mineral​
provides 406 kcalories, 18.2 g protein, 29.6 g fat
See table for caloric needs of cats
provides phosphorus 46%, potassium 209% of a cat's daily needs, sodium depends on using low salt tuna. 
To feed this diet with a normal amount of phosphorus substitute 2 grams bone meal powder for the 1 calcium carbonate tablet.​

Patient Evaluation During Dietary Management

The evaluation of all patients is done by periodic blood chemistry measurements and any other appropriate testing. It is expected that abnormal blood values will improve or return to normal. After recovery it becomes important to modify dietary restrictions to provide an animal's nutritional needs. Without this monitoring it is possible that nutrient deficiency could develop. The owner-prepared diets offer more than one choice of special diet for disease conditions than are available from commercial pet food companies. An animal's specific needs can be met with owner-prepared diets. That might be possible if a commercial diet just happens to provide what is needed for recovery. With improvement some of the fat soluble vitamins can be given. It is not necessary to give them more than weekly or several times a month. The liver stores these vitamins and it takes months or years to deplete the the stores of vitamins A and D, ones that have the greatest potential for being toxic.

References

1. Brown, Scott A. 1994. Canine Renal Disease. In The Waltham Book of Clinical Nutrition of the Dog and Cat. Edited by J. M. Wills and K. W. Simpson, 313-334. Oxford: Pergamon Press.

2. Moraillon, Robert and Roger Wolter. 1994. Feline Renal Disease. In The Waltham Book of Clinical Nutrition of the Dog and Cat. Edited by J. M. Wills and K. W. Simpson,277-291. Oxford: Pergamon Press.

3. Grauer, Gregory F. and India F. Lane. 1994. Acute Renal Failure: Strategies for its Prevention. In Nephrology and Urology. Waltham Symposium Number 16. Edited by C. Tony Buffington and James H. Sokolowski, 23-30. Vernon: Kal Kan Foods.

4. Kopple, Joel D. 1991. Role of Diet in the Progression of Chronic Renal Failure: Experience With Human Studies and Proposed Mechanisms by Which Nutrients May Retard Progression. Journal of Nutrition  121(11S):S124.

5. Polzin, David J., Carl A. Osborne and Larry G. Adams. 1991. Effect of Modified Protein Diets in Dogs and Cats with Chronic Renal Failure: Current Status. Journal of Nutrition  121(11S):S140-S144.

6. Leibetseder, J and K. Neufeld. 1991. Effects of Dietary Protein and Phosphorus Levels in Dogs with Chronic Renal Failure.

Purina International Nutrition Symposium in Association with the Eastern States Veterinary Conference. 15 January. 35-38.

7. Polzin, David J. 1991. Can Diet Modify Progression of Chronic Renal Failure? Purina International Nutrition Symposium in Association with the Eastern States Veterinary Conference. 15 January. 29-33.

8. Lewis, Lon D., Mark L. Morris and Michael S. Hand. 1987. Small Animal Clinical N
 
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