Hill's Prescription Diet

k/d with Chicken Dog Food

Product Description

Delicious clinically proven nutrition to help protect vital kidney function and maintain muscle mass

Primary Product Recommendation

Kidney Care

Alternate Product Recommendation

Liver Care

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Key Benefits

Hill's Prescription Diet k/d Wet Dog 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 uremic toxins, slowing the progression of the disease and is clinically proven to improve & lengthen quality of life.^1,2,3,4

In addition to high levels of essential amino acids and L-carnitine, increasing caloric intake will support the dog's natural ability to build muscle mass daily.⁵

Available in multiple wet forms & flavors to entice even the pickiest of eaters, this canned food is made with chicken and has a ground texture with an irresistible taste that dogs love.

These characteristics make Prescription Diet k/d, veterinary exclusive wet dog food, a useful nutritional aid for dogs with kidney disease:

KEY FEATURES		KEY BENEFITS
Phosphorus & Sodium	Reduced	Help 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 130% of AAFCO minimum to help the dog's natural ability to maintain 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 Stage 2 (non-proteinuric)

IRIS Stages 3-4

All IRIS stages with proteinuria

- Acute kidney insult

- Uremic encephalopathy

- Leishmaniasis with concurrent CKD

Other Indications:

- CKD IRIS Stage 1 (non-proteinuric)

- Hepatic encephalopathy

Not Recommended For:

Growing puppies, pregnant or nursing dogs

Patients with hyperlipidemia, pancreatitis, history of pancreatitis or at risk of pancreatitis

Evidence-Based Clinical Nutrition:

Feeding the nutrition of Prescription Diet k/d to dogs with IRIS Stage 3 chronic kidney disease for 2 years versus a typical adult grocery food was associated with significant benefits including significantly delayed onset of uremic crises by approximately 5 months, living 3 times longer, and improved quality of life (72% less likely to suffer clinical signs associated with kidney disease). ^1,2

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 dogs 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 Stage 2 (non-proteinuric), IRIS Stages 3-4, and all IRIS stages with proteinuria: Prescription Diet k/d + j/d Dog Food

For patients with CKD and concurrent osteoarthritis: Prescription Diet k/d + j/d Dog Food

For patients with acute kidney insult: Prescription Diet k/d + j/d Dog Food

For patients with uremic encephalopathy: Prescription Diet k/d + j/d Dog Food, Prescription Diet u/d Dog Food

For patients with early Chronic Kidney Disease (CKD) IRIS Stage 1 (non-proteinuric): Prescription Diet g/d Dog Food, Prescription Diet k/d + j/d Dog Food

For patients with hepatic encephalopathy: Prescription Diet l/d Dog Food, Prescription Diet u/d Dog Food

For patients with leishmaniasis with concurrent CKD: Prescription Diet k/d + j/d Dog Food

References:

¹Jacob F, Polzin DJ, Osborne CA, et al. Clinical evaluation of dietary modification for treatment of spontaneous chronic renal failure in dogs. J Am Vet Med Assoc 2002; 220:1163-70.

²Jacob F, Osborne C, Polzin D. Effect of dietary modification on health-related quality of life (HRQL) in dogs with spontaneous chronic renal failure. (Abstr) Proceedings ACVIM, Minneapolis, MN 2004:828.

³Hall J. et al, A longitudinal study on the acceptance and effects of a therapeutic renal food in pet dogs with IRIS-Stage 1 chronic kidney disease. J Anim Physiol Anim Nutr. 2017;1–11.

⁴Ephraim E and Jewell DE, Effect of added dietary betaine and soluble fiber on metabolites and fecal microbiome in dogs with early renal disease. Metabolites 2020, 10, 0370; doi:10.3390/metabo10090370

⁵Hill's Data on File. Technical Summary: L-carnitine increases lean body mass in adult dogs and cats.

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 dogs 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 dog is feeling better.

Adult maintenance

Weight of Dog - lbs (kgs)	Amount per Day - 13 oz (370 g) cans
5 (2,3)	1/2
10 (4,5)	3/4
15 (6,8)	1
20 (9,1)	1 1/3
30 (14)	1 3/4
40 (18)	2 1/4
50 (23)	2 2/3
60 (27)	3
70 (32)	3 1/2
80 (36)	3 3/4
100 (45)	4 1/2
120 (54)	5 1/4

Animal feeding tests using AAFCO procedures substantiate that Hill's Prescription Diet k/d with Chicken Dog Food provides complete and balanced nutrition for maintenance of adult dogs.

Ingredients

High quality protein and thoughtfully sourced ingredients.

Water, Corn Starch, Pork Liver, Chicken, Chicken Fat, Dextrose, Flaxseed, Chicken Liver Flavor, Dried Beet Pulp, Fish Oil, Powdered Cellulose, Calcium Carbonate, Egg Whites, L-Lysine, Potassium Citrate, Potassium Chloride, Betaine, DL-Methionine, Whole Grain Oats, Choline Chloride, vitamins (Vitamin E Supplement, L-Ascorbyl-2-Polyphosphate (source of Vitamin C), Ascorbic Acid (source of Vitamin C), Thiamine Mononitrate, Niacin Supplement, Vitamin A Supplement, Calcium Pantothenate, Vitamin B12 Supplement, Pyridoxine Hydrochloride, Riboflavin Supplement, Biotin, Menadione Sodium Bisulfite Complex (source of Vitamin K), Folic Acid, Vitamin D3 Supplement), Fructooligosaccharides (FOS), minerals (Ferrous Sulfate, Zinc Oxide, Manganese Sulfate, Copper Sulfate, Calcium Iodate), Magnesium Oxide, L-Threonine, Taurine, Sodium Tripolyphosphate, L-Carnitine, Iodized Salt, L-Tryptophan, Beta-Carotene.

Average Nutrient & Caloric Content

Balanced nutrition that exceeds AAFCO nutrition standards.

433 kcal / 13 oz (370 g) can

Nutrient	As Fed¹%	Dry Matter²%	As Fed, Caloric Basis³g/100 kcal
Protein	4.1 %	15.7 %	3.5 g / 100 kcal
Fat	6.8 %	26.1 %	5.8 g / 100 kcal
Carbohydrate / NFE	12.8 %	49.3 %	11 g / 100 kcal
Crude Fiber	0.9 %	3.5 %	0.8 g / 100 kcal
Calcium	0.2 %	0.79 %	175 mg / 100 kcal
Phosphorus	0.07 %	0.27 %	59 mg / 100 kcal
Potassium	0.23 %	0.9 %	199 mg / 100 kcal
Sodium	0.05 %	0.18 %	39 mg / 100 kcal
Magnesium	0.037 %	0.142 %	31 mg / 100 kcal
Vitamin C	37 ppm	143 ppm	3.18 mg / 100 kcal
Vitamin E	194 IU/kg	748 IU/kg	16.63 IU / 100 kcal
Total Omega-3 FA	0.66 %	2.53 %	563 mg / 100 kcal

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