Hill's Prescription Diet

c/d Multicare + Metabolic Weight Dry Dog Food

Product Description

Formulated to help dissolve struvite stones, reduce risk of calcium oxalate stones and reduce weight.

Primary Product Recommendation

Urinary Care, Weight Management

Alternate Product Recommendation

Glucose Management, Endocrine System Care

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Key Benefits

Prescription Diet c/d Multicare + Metabolic Dry Dog Food is specially formulated by nutritionists & veterinarians to help manage your canine patient's urinary health and weight. In fact, c/d Multicare + Metabolic Dry Dog Food helps manage the risk of oxalate & struvite stones in dogs combined with nutrition proven to reduce weight by 13% in 60 days.

These characteristics make Prescription Diet c/d Multicare + Metabolic, veterinary exclusive dry dog food, a useful nutritional aid for urinary health issues while activating metabolism in obese or overweight dogs:

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.
Optimal urine pH	Formulated	To help dissolve struvite stones.
Proprietary blend of synergistically effective nutrients	Added	Helps to control appetite, reduces inflammation and improves energy metabolism.
Antioxidant blend	High	Vitamin E and Beta Carotene help defend cells against free radical oxidation and counteract inflammation.
Fiber	High	Soluble and insoluble fiber to trigger satiety, control appetite, and maintain gastrointestinal health.
Omega-3 Fatty Acids EPA and DHA	High	Helps break the cycle of inflammation.

Indications:

Primary Indications:

Weight loss & maintenance in dogs prone to CaOx or struvite urolith formation
Reduce recurrence of calcium oxalate (CaOx), calcium phosphate, & struvite uroliths

Other Indications:

Struvite dissolution
Diabetes in normal weight, mildly overweight, or obese dogs
Cushing's syndrome
Hypothyroidism

Not Recommended For:

Puppies

Dogs that are pregnant or lactating

Dogs concurrently receiving urinary acidifiers

Dogs with cystine and ammonium urate stones

Evidence-Based Clinical Nutrition:

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

Clinically tested to reduce body weight by 13% in 60 days¹

Clinically shown to work with each dog's unique metabolic response, activating the body's natural ability to burn excess body fat and affect calorie utilization.^{1, 2, 4, 5, 7}

Used in an in-home feeding study and 88% of pets experienced weight loss within 2 months.^{3, 6}

Clinically proven to avoid weight regain following a weight loss program.^1,2

Additional Info:

Prescription Diet c/d Multicare + Metabolic dog food is formulated to help dissolve struvite stones, help reduce inflammation from UTI and stones, and reduce the risk of struvite & calcium oxalate stones, and has nutrition clinically proven to reduce weight.

Other Products to Consider

To reduce recurrence of calcium oxalate (CaOx) or calcium phosphate uroliths: Prescription Diet c/d Multicare Dog Food
To reduce recurrence of struvite uroliths: Prescription Diet c/d Multicare Dog Food, Prescription Diet w/d Multi-Benefit Dog Food
To reduce recurrence of struvite uroliths & weight maintenance: Prescription Diet w/d Multi-Benefit Dog Food
For patients requiring struvite dissolution: Prescription Diet c/d Multicare Dog Food
For patients with diabetes and obesity: Prescription Diet Metabolic Dog Food, Prescription Diet Metabolic Weight + j/d Dog Food, Prescription Diet r/d Dog Food
For patients with diabetes at a normal weight or mildly overweight: Prescription Diet w/d Multi-Benefit Dog Food, Prescription Diet Metabolic Dog Food, Prescription Diet Metabolic Weight + j/d Dog Food
For patients with Cushing's syndrome: Prescription Diet i/d Dog Food, Prescription Diet i/d Low Fat Dog Food, Prescription Diet w/d Multi-Benefit Dog Food, Prescription Diet Metabolic Dog Food, Prescription Diet Metabolic Weight + j/d Dog Food, Prescription Diet r/d Dog Food, Prescription Diet i/d Stress Dog Food
For patients with hypothyroidism: Prescription Diet Metabolic Dog Food, Prescription Diet Metabolic + j/d Dog Food, Prescription Diet r/d Dog Food

References:

^1.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 dogs. J Am Vet Med Assoc 2015;247:375–384.

^2.Christmann U, Becvarova I, Werre S, Meyer H. Effectiveness of a new weight management food to achieve weight loss and maintenance in client-owned obese dogs. Intern J Appl Res Vet Med 2015;13(2):104–116.

^3.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.

^4.Hahn K., Meyer H. Scientific Proceedings Hill's Global Symposium on Obesity, Barcelona 24th May 2013. The nutrigenomics story: opening avenues to help solve obesity in dogs and cats, pp 22-23; ISSN 1479 - 8999

^5.Hahn K., Meyer H. Scientific Proceedings Hill's Global Symposium on Obesity, Barcelona 24th May 2013. Evidence-based nutrition for obesity management and weight gain prevention, pp 26-28, ISSN 1479 - 8999

^6.Hahn K., Becvarova I. et. Scientific Proceedings Hill's Global Symposium on Obesity, Barcelona 24th May 2013. The proof of a weight management food is in the eating of it, at home, pp 29-30, ISSN 1479 - 8999

^7.Jewell D et al. A reduced calorie, high fiber food with added Coconut Oil, L-Carnitine, Lipoic Acid, Lysine and Leucine increases basal metabolic rate in overweight and obese dogs. J Vet Intern Med 2014;28:1087

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 Dog — lbs (kgs)	Amount per Day - cups (grams) - Weight loss	Amount per Day - cups (grams) - Adult maintenance
5 (2,3)	1/2 (45)	3/4 (65)
10 (4,5)	3/4 (65)	1 1/4 (110)
15 (6,8)	1 (90)	1 2/3 (145)
20 (9,1)	1 1/3 (115)	2 (175)
30 (14)	1 3/4 (155)	2 3/4 (240)
40 (18)	2 1/4 (200)	3 1/2 (310)
50 (23)	2 2/3 (235)	4 1/4 (375)
60 (27)	3 (265)	4 3/4 (415)
70 (32)	3 1/3 (295)	5 1/3 (470)
80 (36)	3 3/4 (330)	6 (525)
100 (45)	4 1/3 (380)	7 (615)
120 (54)	5 (440)	8 (705)

Animal feeding tests using AAFCO procedures substantiate that Hill's Prescription Diet c/d Multicare + Metabolic Weight Chicken Flavor Dog Food provides complete and balanced nutrition for maintenance of adult dogs.

Ingredients

High quality protein and thoughtfully sourced ingredients.

Brewers Rice, Corn Gluten Meal, Powdered Cellulose, Pea Fiber, Chicken Meal, Dried Tomato Pomace, Soybean Oil, Chicken Liver Flavor, Coconut Oil, Pork Liver Flavor, Flaxseed, Lactic Acid, Potassium Citrate, L-Lysine, Fish Oil, Calcium Carbonate, Carrots,Choline Chloride, DL-Methionine, Glyceryl Monostearate, Iodized Salt, vitamins (Vitamin E Supplement, Niacin Supplement, Thiamine Mononitrate, Pyridoxine Hydrochloride, Calcium Pantothenate, Riboflavin Supplement, Biotin, Vitamin B12 Supplement, Vitamin A Supplement, Folic Acid, Vitamin D3 Supplement), Lipoic Acid, L-Tryptophan, minerals (Ferrous Sulfate, Zinc Oxide, Copper Sulfate, Manganous Oxide, Calcium Iodate, Sodium Selenite), Taurine, Mixed Tocopherols for freshness, Natural Flavors, L-Carnitine, Green Peas, Apples, Cranberries, Beta-Carotene, Broccoli.

Average Nutrient & Caloric Content

Balanced nutrition that exceeds AAFCO nutrition standards.

3170 kcal/kg 279 kcal/cup†

Nutrient	As Fed¹%	Dry Matter²%	As Fed, Caloric Basis³g/100 kcal
Protein	25.3 %	27.5 %	8 g / 100 kcal
Fat	11.5 %	12.5 %	3.6 g / 100 kcal
Carbohydrate / NFE	37.2 %	40.4 %	11.7 g / 100 kcal
Crude Fiber	13.8 %	15 %	4.4 g / 100 kcal
Calcium	0.6 %	0.65 %	189 mg / 100 kcal
Phosphorus	0.42 %	0.45 %	131 mg / 100 kcal
Potassium	0.62 %	0.67 %	196 mg / 100 kcal
Sodium	0.26 %	0.28 %	81 mg / 100 kcal
Magnesium	0.075 %	0.081 %	24 mg / 100 kcal
Total Omega-3 FA	0.89 %	0.96 %	279 mg / 100 kcal
Carnitine	336.3 ppm	365.6 ppm	10.61 mg / 100 kcal
Glucosamine	369 ppm	401 ppm	12 mg / 100 kcal

References

1Differs from label guarantees which are either maximums or minimums.
2The nutrient in the product after moisture is removed. It is used to make direct comparisons of nutrient profiles with differing moisture contents.
3Nutrient intake for every 100 kilocalories consumed.

†An eight fluid oz. measuring cup of c/d Multicare + Metabolic Weight Dry Dog Food contains 3.1 oz. by weight.

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