Hill's Prescription Diet

c/d Multicare + Metabolic Vegetable, Tuna & Chicken Stew Cat Food

Product Description

Nutrition that reduces the recurrence of FIC signs, manages struvite disease, reduces risk of calcium oxalate crystals and helps maintain a healthy weight in cats

Primary Product Recommendation

Urinary Care, Weight Management

Alternate Product Recommendation

Glucose Management

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Key Benefits

Prescription Diet c/d Multicare + Metabolic Weight Wet Cat Food is specially formulated by nutritionists & veterinarians to help manage feline patient's urinary health and weight. In fact, c/d Multicare + Metabolic Weight has clinically tested nutrition to reduce the recurrence of FIC signs by 89% combined with nutrition proven to reduce body weight.

These characteristics make Prescription Diet c/d Multicare + Metabolic Weight, veterinary exclusive dry cat food, a useful nutritional aid for cats with FLUTD, such as FIC, while activating metabolism in obese or overweight cats:

KEY FEATURES		KEY BENEFITS
Magnesium, Calcium, Phosphorus	Controlled levels	Reduce building blocks of crystals and uroliths.
Potassium Citrate	Added	Inhibits calcium oxalate crystals and uroliths.
Omega-3 Fatty Acids, EPA and DHA	High	Help break inflammatory cycle associated with uroliths, crystals, and FIC.
Target Urine pH*	6.2 – 6.4	Discourages struvite formation, without increasing the risk of calcium oxalate formation.
Proprietary bundle of synergistically effective ingredients & nutrients	Added	Helps to control appetite, reduces bladder inflammation and activate metabolism.
Fiber	Increased	Soluble and insoluble fiber to trigger satiety, control appetite, and maintain gastrointestinal health.

Indications:

Primary Indications:

Weight loss & maintenance in cats with concurrent feline lower urinary tract disease (FLUTD):

Reduce recurrence of calcium oxalate (CaOx), calcium phosphate, & struvite uroliths

Feline idiopathic cystitis (FIC)

Other Indications:

Struvite dissolution

- Diabetes in normal weight, mildly overweight, or obese cats

Not Recommended For:

Patients with concurrent use of urinary acidifiers
Growing kittens, pregnant or nursing cats.

Evidence-Based Clinical Nutrition:

The nutrition of Prescription Diet c/d Multicare has been:

Clinically formulated to dissolve struvite stones in as little as 7 days (average 27 days). ^₁

Clinically formulated to reduce the recurrence of FIC signs by 89%. ²

Clinically tested to reduce risk of both calcium oxalate and struvite urolith formation. ^1,3

The nutrition of Prescription Diet Metabolic has been:Clinically proven to reduce body weight by 11% in 60 days. ⁴

Clinically proven to work with each cats unique metabolic response activating the body's natural ability to burn excess body fat and affect calorie utilization. ^{4, 5}

Used in an in-home feeding study and 88% of pets experienced weight loss within 2 months. ⁶

Additional Info:

A complete portfolio of dry food and stews are designed to work together to ensure effective urinary care, safe and healthy weight loss, and easy weight maintenance.
Appropriate for multiple cat households
Dry and canned formulas can be mixed or fed concurrently

Other Products to Consider

For patients requiring weight loss or maintenance with concurrent feline lower urinary tract disease (FLUTD): Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food

For patients with feline idiopathic cystitis (FIC): Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food, Prescription Diet c/d Multicare Stress Cat Food, Prescription Diet c/d Multicare Cat Food

To reduce recurrence of calcium oxalate (CaOx), calcium phosphate, or struvite uroliths: Prescription Diet c/d Multicare Cat Food, Prescription Diet c/d Multicare Stress Cat Food

To reduce recurrence of struvite uroliths & weight maintenance: Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food, Prescription Diet w/d Multi-Benefit Cat Food

For patients requiring struvite dissolution: Prescription Diet c/d Multicare Stress Cat Food, Prescription Diet c/d Multicare Cat Food, Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food

For patients with diabetes and obesity: Prescription Diet m/d GlucoSupport Cat Food, Prescription Diet Metabolic Cat Food, Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food, Prescription Diet r/d Cat Food

For patients with diabetes at a normal weight or mildly overweight: Prescription Diet m/d GlucoSupport Cat Food, Prescription Diet w/d Multi-Benefit Cat Food, Prescription Diet Metabolic Cat Food, Prescription Diet c/d Multicare Stress + Metabolic Weight Cat Food

References:

^1.Lulich JP, Kruger JM, MacLeay JM, et al. Efficacy of two commercially available, low-magnesium, urine-acidifying dry foods for the dissolution of struvite uroliths in cats. J Am Vet Med Assoc. 2013;243:1147-1153.

^2.Kruger J.M., Lulich, J.M., MacLeay J.M., et al. Comparison of foods with differing nutritional profiles for long-term management of acute nonobstructive idiopathic cystitis in cats J Am Vet Med Assoc 2015;247:508-517.

^3.MacLeay JM, Schiefelbein H, Davidson S. Dietary sodium increases calcium excretion and induced calcium oxalate precipitation in cats. https://doi.org/10.1111/jvim.15319. J Vet Int Med 2018;32:6:2288.

^4.Floerchinger AM, Jackson MI, Jewell DE et al. Effect of feeding a weight loss food beyond a caloric restriction period on body composition and resistance to weight gain in cats. J Am Vet Med Assoc 2015;247:365–374.

^5.Christmann U, Becvarova I, Werre S, Meyer H. Effectiveness of a new dietetic weight management food to achieve weight loss in client-owned obese cats. J Feline Med Surg 2016;18(12):947-953.

^6.Towell T, Forrester SD, Cross S et al. Evaluation of a weight management food designed to increase basal metabolism in a home setting. Intern J Appl Res Vet Med 2015;13(1):14-22.

Feeding Guide

How to adjust feeding amounts to maintain optimal weight.

Provide specific feeding instructions for your patient.

Daily Feeding Recommendations are only a guide and a place to start.

Grams are the most accurate form of measurement; cups are estimated from grams.

Monitoring your patient's condition will assure the nutritional recommendation provides the best results.

Gradually transition to this new food for 7 days or more.

Reinforce with clients to feed Prescription Diet dry food, canned food, & treats exclusively.

Weight Control

Ideal Weight of Cat - lbs (kgs)	Amount per Day - 2.8 oz (79 g) pouches - Weight loss	Amount per Day - 2.8 oz (79 g) pouches - Adult maintenance
6 (2,7)	2	3
8 (3,6)	2 1/3	3 2/3
10 (4,5)	2 3/4	4 1/4
12 (5,4)	3 1/4	5
14 (6,4)	3 2/3	5 1/2
16 (7,3)	4	6
18 (8,2)	4 1/2	6 2/3

Animal feeding tests using AAFCO procedures substantiate that Hill's Prescription Diet c/d Multicare + Metabolic Vegetable, Tuna & Chicken Stew Cat Food provides complete and balanced nutrition for maintenance of adult cats

Ingredients

High quality protein and thoughtfully sourced ingredients.

Water, Pork Liver, Carrots, Powdered Cellulose, Tuna, Chicken, Corn Starch, Wheat Gluten, Egg Whites, Dried Tomato Pomace, Rice, Hydrolyzed Chicken Flavor, Flaxseed, Soybean Oil, Potassium Alginate, Coconut Oil, Leucine, Fish Oil, Calcium Chloride, Dicalcium Phosphate, vitamins (Vitamin E Supplement, Thiamine Mononitrate, Niacin Supplement, Pyridoxine Hydrochloride, Calcium Pantothenate, Vitamin B12 Supplement, Riboflavin Supplement, Biotin, Folic Acid, Vitamin D3 Supplement), Choline Chloride, Guar Gum, Calcium Sulfate, Taurine, Monosodium Phosphate, Potassium Citrate, L-Carnitine, L-Lysine, Sodium Tripolyphosphate, minerals (Zinc Oxide, Ferrous Sulfate, Manganese Sulfate, Copper Sulfate, Calcium Iodate), Calcium Carbonate.

Average Nutrient & Caloric Content

Balanced nutrition that exceeds AAFCO nutrition standards.

763 kcal/kg

Nutrient	As Fed¹%	Dry Matter²%	As Fed, Caloric Basis³g/100 kcal
Protein	8 %	38.1 %	10.5 g / 100 kcal
Fat	3 %	14.3 %	3.9 g / 100 kcal
Carbohydrate / NFE	6.5 %	30.8 %	8.5 g / 100 kcal
Crude Fiber	2.3 %	10.8 %	3 g / 100 kcal
Calcium	0.15 %	0.73 %	202 mg / 100 kcal
Phosphorus	0.13 %	0.61 %	167 mg / 100 kcal
Potassium	0.21 %	1.02 %	280 mg / 100 kcal
Sodium	0.08 %	0.39 %	108 mg / 100 kcal
Magnesium	0.017 %	0.078 %	22 mg / 100 kcal
Taurine	0.09 %	0.41 %	112 mg / 100 kcal
Vitamin C	3 ppm	16 ppm	0.44 mg / 100 kcal
Vitamin E	238 IU/kg	1132 IU/kg	31.2 IU / 100 kcal
Carnitine	195.1 ppm	928 ppm	25.57 mg / 100 kcal

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