SDMA=13. Looks like impending CKD. Need ideas to adjust raw diet

[pogo16]

Hi there, 

Pogo, my dearest 13-y-o male kitty, had 3 CBC panels and urinalysises in the past year. His last bloodwork on 4/6/17 wasn't promising.

LATEST LAB RESULTS:

Urine specific gravity=1.026 and that's considered low-normal. (1.015-1.060)

Creatinine is now 1.7 from 1.6 in December (.6-2.4mg/dL. )

BUN=25 (14-36)

SDMA  13 (0-14)

Phosphorus 4.6 (2.4-8.2)

Calcium 9.3 (8.2-10.8)

Precision PSL 39 (HIGH) (8-26)

SDMA is considered an accurate and early marker of kidney disease.

The current vet wants him on a kidney diet, but I don't want the low protein diet, plus I've decided to change vets. (She doesn't return phone calls and I have to play phone tag with the vet tech, who has been unable to answer any questions. I couldn't even get an answer or discussion of whether Pogo has early CKD)!  In my layman's eyes, the phosphorus level doesn't seem especially high. 

I know the new vet is opposed to raw but he's an Internal Medicine specialist and is highly regarded in the field. I feel I need to arm myself with information before I see the new vet in 2 weeks. There are holistic vets in the area but they all have very mixed reviews. 

Questions: 

1. Is replacing bone with egg shells only good for up to Stage 3 CKD?
2. How much/often can I replace egg whites for a portion of the raw meat? Is that for AFTER Stage 3 CKD?
3. Is there anything I can do to make my cat concentrate his urine?

Thanks in advance for any help. I've been crying since Wednesday

P.S. Not sure it's relevant but Pogo had an acute pancreatic attack last April and has been dealing with elevated pancreatic enzymes ever since. 

 

[meelasmom]

I won't be very helpful for what your asking but just wanted you to know I will say a prayer for you. We don't deserve to suffer like this. These cats are so important to us..they are our family. I hope everything works out for you!

 

[pogo16]

Thanks for the good wishes MeelasMom! I'm hoping for the best!

 

[maureen brad]

I am sorry there have not been more responses to your question.I have no experience with CKD . Could you take your cat to a holistic vet? Do you know who Lisa Pierson DVM is? I would check her web site and maybe even book a consult with her. Her web site is listed here at TCS under raw feeding resources... I never remember her url, I think it is www.catinfo.org. Sorry I am not much help.

 

[missmimz]

Lots of CKD cats eat raw, yes, just use eggshell calcium rather than bone. Additionally, if his phos is high you'll want to use a binder. I wouldn't use egg white to replace meat, I've never heard of anyone doing that. If you have a FB you might want to join this CKD group for more advice, several raw feeders over there.

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[orange&white]

I've only had one dog with CKD, no cats, so I'm not much help either. I did switch some of my CKD dog's diet with cooked egg whites though; they are very high protein and almost no phosphorus.

Prayers and good vibes your way.