Hill's Prescription Diet

u/d Chicken Flavor Wet Dog Food

Product Description

Urinary care that supports bladder health and reduces the risk of urate and cystine crystal and stone formation

Primary Product Recommendation

Urinary Care

Alternate Product Recommendation

Liver Care, Kidney Care

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Key Benefits

For the Nutritional Management of Dogs with Urate or Cystine Urolithiasis (stones in the urinary tract, most often urinary bladder) is associated with a variety of signs including frequent urination, blood in the urine, straining to urinate, and a painful abdomen. Certain stone types may initially be managed by physical removal (often via surgery) and then followed with proper nutrition to help decrease the risk of stone recurrence.

Prescription Diet u/d Wet Dog food was developed to aid in the management of dogs with the problems associated with urate and cystine urolithiasis. Controlled amounts of protein, decreased purine intake and uric acid excretion, and the target urine pH (alkaline) lowers the risk of forming urate crystals and uroliths.

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

KEY FEATURES		KEY BENEFITS
Protein	Controlled	Along with certain amino acids and nucleic acids, this combination results in decreased urinary concentrations of stone-forming constituents.
Target Urinary pH	7.1 -- 7.7	Increases the solubility of urate and cystine crystals.
Taurine, L-Carnitine	Added, High	Helps maintain normal heart muscle function.
Dietary Buffering Capacity	Increased	Helps raise urine pH to decrease risk of cystine and urate crystallization.
Sodium	Low	Supports urinary tract health.
Antioxidants	Added	Defend cells from free radicals, promoting a healthy immune system.

Indications:

Primary Indication:

Urate & cystine urolith management

Other Indications:

Hepatic encephalopathy
Portosystemic shunt
Uremic encephalopathy

Not Recommended For:

Growing puppies, pregnant or nursing dogs

Patients with struvite urolithiasis, hyperlipidemia, hypoalbuminemia, pancreatitis, history of pancreatitis or at risk of pancreatitis

Evidence-Based Clinical Nutrition:

The nutrition of Prescription Diet u/d has been shown in multiple studies to decrease the building blocks of stones in dogs prone to the development of urate stones.^1-6

Additional Info:

Decreases purine intake and uric acid excretion, which lowers risk of forming urate crystals and uroliths.

Protein level are sufficient for the maintenance of adult dogs, yet low enough to dilute urine by decreasing urea production.

Urine pH of individual dogs may vary due to complicating factors such as time of feeding before urine collection, type of urine collection, individual animal variation, or test methodology. Note: Dogs on low protein foods such as Prescription Diet u/d Dry Dog Food commonly exhibit unusual laboratory values. Specifically urine specific gravity (USG) is usually less than 1.020 and blood (serum) urea nitrogen (BUN) is less than (10 mg/dl). Monitoring USG, urinary pH and BUN are methods to monitor the food’s effectiveness and owner compliance.

Long-term use: Dogs fed Prescription Diet u/d Canine long term should be monitored for the development of protein depletion. Because dogs with urate or cystine urolithiasis may have underlying metabolic abnormalities, we recommend performing a fasting serum chemistry profile and echocardiogram every 6 months in these patients.

Other Products to Consider

For patients with portosystemic shunt: Prescription Diet l/d Dog Food
For patients with hepatic encephalopathy: Prescription Diet l/d Dog Food, Prescription Diet k/d Dog Food
For patients with uremic encephalopathy: Prescription Diet k/d Dog Food, Prescription Diet k/d + j/d Dog Food

References:

^1.Bartges JW, Osborne CA, Felice LJ, et al. Diet effect on activity product ratios of uric acid, sodium urate and ammonium urate in urine formed by healthy beagles. Am J Vet Res 1995;56:329-333.

^2.Bartges JW, Osborne CA, Felice LJ, et al. Influence of allopurinol and two diets on 24-hour urinary excretions of uric acid, xanthine and ammonia by healthy dogs. Am J Vet Res 1995;56:595-599.

^3.Bartges JW, Osborne CA, Felice LJ, et al. Influence of four diets containing approximately 11% protein (dry weight) on uric acid, sodium urate and ammonium urate urine activity product ratios of healthy beagles. Am J Vet Res 1995;56:60-65.

^4.Bartges JW, Osborne CA, Felice LJ, et al. Influence of four diets on uric acid metabolism and endogenous acid production in healthy beagles. Am J Vet Res 1996;57:324-328.

^5.Bartges JW, Osborne CA, Felice LJ, et al. Influence of two amounts of dietary casein on uric acid, sodium urate and ammonium urate urinary activity product ratios of healthy beagles. Am J Vet Res 1995;56:893-899.

^6.In a clinical study, naturally occurring ammonium urate urocystoliths in Dalmatian dogs, a low-protein, non acidifying moist commercial veterinary therapeutic food reduced urolith recurrence by 50% compared with an adult moist maintenance food (Lulich et al, 1998).

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.

Adult maintenance

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

Animal feeding tests using AAFCO procedures substantiate that Hill's PRESCRIPTION DIET u/d Dog Food provides complete and balanced nutrition for maintenance of adult dogs.

Ingredients

High quality protein and thoughtfully sourced ingredients.

Water, Corn Starch, Egg Product, Chicken Fat, Pork Liver, Sugar, Rice, Powdered Cellulose, Flaxseed, Calcium Carbonate, Potassium Citrate, Potassium Chloride, Monosodium Phosphate, vitamins (Vitamin E Supplement, Thiamine Mononitrate, Pyridoxine Hydrochloride, Niacin Supplement, Calcium Pantothenate, Vitamin B12 Supplement, Riboflavin Supplement, Biotin, Folic Acid, Vitamin D3 Supplement), L-Lysine, DL-Methionine, Choline Chloride, Magnesium Oxide, Iodized Salt, Taurine, minerals (Ferrous Sulfate, Zinc Oxide, Copper Sulfate, Manganese Sulfate, Calcium Iodate), L-Carnitine, Beta-Carotene.

Average Nutrient & Caloric Content

Balanced nutrition that exceeds AAFCO nutrition standards.

509 kcal / 13 oz (370 g) can

Nutrient	As Fed¹%	Dry Matter²%	As Fed, Caloric Basis³g/100 kcal
Protein	4.1 %	13.8 %	3 g / 100 kcal
Fat	7.9 %	26.5 %	5.7 g / 100 kcal
Carbohydrate / NFE	16 %	53.5 %	11.6 g / 100 kcal
Crude Fiber	0.7 %	2.2 %	0.5 g / 100 kcal
Calcium	0.18 %	0.6 %	130 mg / 100 kcal
Phosphorus	0.09 %	0.31 %	67 mg / 100 kcal
Potassium	0.21 %	0.7 %	152 mg / 100 kcal
Sodium	0.08 %	0.28 %	62 mg / 100 kcal
Magnesium	0.036 %	0.12 %	26 mg / 100 kcal
Vitamin E	239 IU/kg	801 IU/kg	17.38 IU / 100 kcal
Total Omega-3 FA	0.14 %	0.47 %	102 mg / 100 kcal

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