Is their a point to try phosphate Blockers if my CKD cat's phosphate levels are normal? (Bun, creatinine, etc are elevated)
creat:2.2The phosphorus range covers a wide swath, and CKD cats can fall into range and still be too high for them. Do you know what your cat's phosphorus number is? Can you tell us the creatinine and BUN numbers too?
My CKD cat is losing too much weight....IRIS states phosphorus goal values for that range should be no more than 4.6, so your cat's phosphorus level is a bit high...
... you can consider adding a phosphorus binder.
I don't recall if I mentioned this option to you, but can you handfeed? Not with a syringe, but with a Popsicle stick and pate style foods.My CKD cat is losing too much weight.
Yes to both. She's not a fan of hand feeding, WX fishy varieties are in the rotation and about as popular as any other lower phosphate Weruva food one meal every 2-3 weeks. (Simmer Down Stew is the only Weruva food she'll eat weekly but leaves the larger solid chunks behind, won't touch it if it's stirred/mushed)I don't recall if I mentioned this option to you, but can you handfeed? Not with a syringe, but with a Popsicle stick and pate style foods.
Have you looked at Weruva? Including their WX line?
That's how it started with my cat. High end of normal. Thought no more fancy feast or dry food and adding a water fountain would be enoughm Then stage 2kidney disease 6months later with a diet change.I do not know enough about phosphorus binders. My cat currently has high normal phosphorus and kidney levels. Upon retesting if her levels are out of target range I think I will ask her vet if these products are something that would benefit her. I am hoping in 3 months her levels have decreased.
Target ranges for phosphorus is somewhat dependent on the Stage of CKD. And, the entire range is misleading because the upper portion of the range is generally too high for a cat with kidney disease. Without either giving your cat low phosphorus foods or using a phos binder, I doubt the phosphorus level will decrease.I do not know enough about phosphorus binders. My cat currently has high normal phosphorus and kidney levels. Upon retesting if her levels are out of target range I think I will ask her vet if these products are something that would benefit her. I am hoping in 3 months her levels have decreased.
Reading through Tanya's site was the 1st thing I did. It's finding a balance between controlling kidney disease and starvation that's im struggling with.Target ranges for phosphorus is somewhat dependent on the Stage of CKD. And, the entire range is misleading because the upper portion of the range is generally too high for a cat with kidney disease. Without either giving your cat low phosphorus foods or using a phos binder, I doubt the phosphorus level will decrease.
You could also benefit from the web site I mentioned above. And, I'll provide a link directly to the section that discusses phosphorus and the importance of reducing the level in CKD cats.
Tanya's Comprehensive Guide to Feline Chronic Kidney Disease - The Importance of Phosphorus Control (felinecrf.org)
Her foods are lower phosphorus. I ran them all by her vet, she said they should be absolutely fine.Love the site you mentioned. I am aware of the discrepancy in phosphorus levels. I know what the AAFCO has listed is definitely to high for a CKD cats or one that has the possibility if becoming CKD.The only thing we were both concerned about was I was giving her freeze dried chicken treats with her 2x a day asthma inhaler treatment and also put some on her food to disguise the med she gets prior to going to the vet for extreme anxiety. Company does not test the phosphate level of these treats, so I completely stopped those as phosphorus could be way to high.Vet seems much more concerned about her high normal level thyroid test, as it was much higher then last years senior bloodwork. So whatever she needs, if that is a phosphorus binder that is fine.She has not lost weight, no vomiting or diarrhea.She has never been fed fish.Target ranges for phosphorus is somewhat dependent on the Stage of CKD. And, the entire range is misleading because the upper portion of the range is generally too high for a cat with kidney disease. Without either giving your cat low phosphorus foods or using a phos binder, I doubt the phosphorus level will decrease.
You could also benefit from the web site I mentioned above. And, I'll provide a link directly to the section that discusses phosphorus and the importance of reducing the level in CKD cats.
Tanya's Comprehensive Guide to Feline Chronic Kidney Disease - The Importance of Phosphorus Control (felinecrf.org)
A messed up part about labeling, is that "chicken" could be chicken meat or chicken bone.Her foods are lower phosphorus. I ran them all by her vet, she said they should be absolutely fine.Love the site you mentioned. I am aware of the discrepancy in phosphorus levels. I know what the AAFCO has listed is definitely to high for a CKD cats or one that has the possibility if becoming CKD.The only thing we were both concerned about was I was giving her freeze dried chicken treats with her 2x a day asthma inhaler treatment and also put some on her food to disguise the med she gets prior to going to the vet for extreme anxiety. Company does not test the phosphate level of these treats, so I completely stopped those as phosphorus could be way to high.Vet seems much more concerned about her high normal level thyroid test, as it was much higher then last years senior bloodwork. So whatever she needs, if that is a phosphorus binder that is fine.She has not lost weight, no vomiting or diarrhea.She has never been fed fish.
It is actually suppose to be cooked then freeze dried chicken cubes.It is a treat not food, so it is not tested at all. That is the only thing in her diet that changed since her senior bloodwork last year. I check all her foods before reordering, it is you me for not passing by the treats maybe. So I just stopped giving it to her. Vet definitely more concerned about her thyroid. Both concern me as there is a correlation between thyroid and kidney heath. Been here once before and that cat developed kidney issues after being diagnosed with hyperthyroidism. That complicates matter even more.I will continue to monitor her for changes.A messed up part about labeling, is that "chicken" could be chicken meat or chicken bone.
I was using 1.5 cubes of crumbled Nulo freeze dried chicken as a topper, it was the lowest phosphate freezedried food I found (0.9%DM ) a bit too high to use more. But I when I went to reorder 3 months later phosphates were changed to 1.3%.
Instinct freeze dried is the next lowest phosphate level that 1.1% my cat will still eat 1.1% DM
I got blood a new blood tests done at my regular vet. Then went to the hospital for more tests and a 2nd opinion. Her Phosphates were on the high side of normal, now just normal. But she gone from early stage 2 to stage 3.Is their a point to try phosphate Blockers if my CKD cat's phosphate levels are normal? (Bun, creatinine, etc are elevated)