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Key Benefits
Hill's Prescription Diet k/d Wet Cat Food with ActivBiome+ Kidney Defense is specially formulated by nutritionists & veterinarians to help manage chronic kidney disease (CKD). A proprietary blend of prebiotics activate the gut microbiome to reduce harmful waste products within the intestinal, slowing the progression of the disease and is clinically proven to improve & lengthen quality of life. 1-5
In addition, high levels of essential amino acids and L-carnitine support the cat's natural ability to build muscle mass daily. 2
Available in multiple wet forms & flavors to entice even the pickiest of eaters, this canned food has tasty bite-sized chunks in gravy and is made with wholesome ingredients like chicken & vegetables that cats love.
These characteristics make Prescription Diet k/d, veterinary exclusive wet cat food, a useful nutritional aid for cats with kidney disease:
KEY FEATURES KEY BENEFITS Phosphorus, Sodium Reduced Helps slow the progression of chronic kidney disease. ActivBiome+ Kidney Defense Added A proprietary blend of prebiotics shown to activate the gut microbiome to reduce uremic toxins. Omega-3 fatty acids (EPA/DHA) from fish oil Added Helps fight kidney inflammation. Essential Amino Acids Increased More than 150% of AAFCO minimum to help the cat's natural ability to build muscle mass daily. L- Carnitine Increased Helps improve utilization of fat to avoid muscle breakdown for energy. Antioxidants Added Defend cells from free radical oxidation, promoting a healthy immune system. B-Complex vitamins Added Help compensate for urinary losses due to kidney disease.
Indications:
Primary Indications:
- Chronic Kidney Disease (CKD):
- IRIS Stages 3-4
- All IRIS stages with proteinuria
- Acute kidney insult
- Uremic encephalopathy
Other Indications:
- CKD IRIS Stages 1-2 (non-proteinuric)
- Urate & cystine urolith management
- Hepatic encephalopathy
- Hepatic lipidosis (encephalopathic)
Evidence-Based Clinical Nutrition:
- A 2-year clinical study of cats with naturally occurring chronic kidney disease compared the effects of feeding the nutrition of Prescription Diet k/d versus a typical adult grocery food. Cats with IRIS stage 2 and 3 kidney disease (serum creatinine between 2.1-4.5 mg/dL) fed Prescription Diet k/d had no uremic episodes, while 26% of the control group experienced uremic crises. There were significantly less CKD-related deaths in the group of cats fed Prescription Diet k/d (0%) compared with the group of cats fed the maintenance control food (22%).1
- A 6 month clinical study demonstrated that cats with CKD consuming Prescription Diet k/d had a significant increase in body weight and no change in lean body mass, while cats with CKD fed a positive control food had significant loss of body weight and lean body mass. Cats also consumed 23 per cent more calories when fed Prescription Diet k/d as compared with cats fed the positive control food.2
- A prospective study involving 128 cats with various stages of CKD fed Prescription Diet k/d for 12 months demonstrated that 94% of cats successfully transitioned onto the food, while 89% of cats moderately or extremely liked the food and 68% of cats were moderately or extremely enthusiastic while eating the food. Markers of kidney function were stable and pet parent assessed quality of life improved.3
- A retrospective study demonstrated that cats with CKD fed Prescription Diet k/d dry had significantly longer median survival time and lower serum creatinine levels (18.1 months, 242 umol/l) as compared to cats with CKD fed a non-therapeutic food (8.5 months, 277 umol/l).4
- Cats eating Prescription Diet k/d maintained their body condition and body weight.6
Additional Info:
Prescription Diet k/d has increased dietary buffering capacity. This helps counteract the tendency for metabolic acidosis, a common complication as kidney disease progresses.
Ideal for long-term feeding of cats with kidney disease.
Dry and canned formulas can be mixed or fed concurrently.
Other Products to Consider
- For patients with chronic kidney disease (CKD) IRIS Stages 3-4 and all IRIS stages with proteinuria: Prescription Diet k/d + j/d Cat Food
- For patients with early chronic kidney disease (CKD) IRIS Stages 1-2 (non-proteinuric): Prescription Diet k/d Early Support Cat Food, Prescription Diet k/d + j/d Cat Food
- For patients with CKD and concurrent osteoarthritis: Prescription Diet k/d + j/d Cat Food
- For patients with acute kidney insult: Prescription Diet k/d + j/d Cat Food, Prescription Diet k/d Early Support Cat Food
- For patients with uremic encephalopathy: Prescription Diet k/d + j/d Cat Food
- For patients with urate or cystine urolithiasis: Prescription Diet k/d Early Support Cat Food, Prescription Diet k/d + j/d Cat Food
- For patients with hepatic encephalopathy, including hepatic lipidosis: Prescription Diet k/d Early Support Cat Food
References:
1. Ross SJ, Osborne CA, Kirk CA et al., Clinical evaluation of dietary modification for treatment of spontaneous chronic kidney disease in cats, Journal of the American Veterinary Medical Association, 2006; 229 (6): 949-957.
2. Hall et al, Cats with IRIS stage 1 and 2 chronic kidney disease maintain body weight and lean muscle mass when fed food having increased caloric density, and enhanced concentrations of carnitine and essential amino acids. Veterinary Record, 2018. doi: 10.1136/vr.104865 DMS 10000130867
3. Fritsch et al, Acceptance and effects of a therapeutic renal food in pet cats with chronic kidney disease. Vet Rec Open 2015;2:e000128. doi:10.1136/vetreco-2015-000128
4. Plantinga et al, Retrospective study of the survival of cats with acquired chronic renal insufficiency offered different commercial diets. Veterinary Record; 2005; 157, 185-187
5. Hall JA, Jewell DE, Ephraim E (2022) Feeding cats with chronic kidney disease food supplemented with betaine and prebiotics increases total body mass and reduces uremic toxins. PLoS ONE 17(5): e0268624. doi:10.1371/journal.pone.0268624
6. Kirk, CA, Hickman MA., Dietary protein requirement of cats with spontaneous renal disease (Abstr) J Veterinary Intern Med. 2000: 14 (3) 351
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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. Some cats may need longer than 7 days to transition to a new food. Be patient and consistent.
- Reinforce with clients to feed Prescription Diet dry food, canned food, & treats exclusively.
- Avoid transitioning to the new food during periods of illness or hospitalization. A food aversion may develop, causing decreased acceptance of the food when the cat is feeling better.
Adult maintenance
Weight of Cat - lbs (kgs) Amount per Day - 2.9 oz (82 g) cans 6 (2,7) 2 1/2 8 (3,6) 3 10 (4,5) 3 1/2 12 (5,4) 4 14 (6,4) 4 1/2 16 (7,3) 5 18 (8,2) 5 1/2 -
Ingredients
High quality protein and thoughtfully sourced ingredients.
Water, Chicken, Pork Liver, Carrots, Rice, Rice Starch, Spinach, Natural Flavor, Chicken Fat, Pea Protein, Powdered Cellulose, Fish Oil, Potassium Alginate, Soybean Oil, Calcium Lactate, Calcium Gluconate, Betaine, Guar Gum, Choline Chloride, Whole Grain Oats, Potassium Citrate, vitamins (Vitamin E Supplement, Thiamine Mononitrate, L-Ascorbyl-2-Polyphosphate (source of Vitamin C), Niacin Supplement, Menadione Sodium Bisulfite Complex (source of Vitamin K), Pyridoxine Hydrochloride, Calcium Pantothenate, Vitamin B12 Supplement, Riboflavin Supplement, Biotin, Folic Acid, Vitamin D3 Supplement), Taurine, Fructooligosaccharides (FOS), Calcium Chloride, Dicalcium Phosphate, L-Arginine, L-Threonine, Sodium Tripolyphosphate, Monosodium Phosphate, Potassium Chloride, L-Carnitine, minerals (Ferrous Sulfate, Zinc Oxide, Copper Sulfate, Manganese Sulfate, Calcium Iodate), Calcium Carbonate.
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Average Nutrient & Caloric Content
Balanced nutrition that exceeds AAFCO nutrition standards.
71 kcal / 2.9 oz (82 g) can
Nutrient As Fed1
%Dry Matter2
%As Fed, Caloric Basis3
g/100 kcalProtein 5.8 % 29.8 % 6.7 g / 100 kcal Fat 4.8 % 24.5 % 5.5 g / 100 kcal Carbohydrate / NFE 7.4 % 38 % 8.5 g / 100 kcal Crude Fiber 0.6 % 3.1 % 0.7 g / 100 kcal Calcium 0.14 % 0.7 % 158 mg / 100 kcal Phosphorus 0.1 % 0.52 % 117 mg / 100 kcal Potassium 0.19 % 1 % 223 mg / 100 kcal Sodium 0.05 % 0.25 % 55 mg / 100 kcal Magnesium 0.011 % 0.058 % 13 mg / 100 kcal Taurine 0.08 % 0.43 % 96 mg / 100 kcal Vitamin C 36 ppm 186 ppm 4.17 mg / 100 kcal Vitamin E 142 IU/kg 730 IU/kg 16.37 IU / 100 kcal Total Omega-3 FA 0.22 % 1.13 % 254 mg / 100 kcal Carnitine 117.7 ppm 606 ppm 13.59 mg / 100 kcal
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