There are not many options when food sensitivity and advanced kidney disease arrive together. Venison is a novel protein that is naturally low in phosphorus, and with egg white and potato it holds protein at 59 g per 1000 kcal…

Low-allergy duck with a generous share of egg white holds protein at 58 g per 1000 kcal, which is at the higher end for late stage. That suits dogs starting to lose muscle while phosphorus still needs strict control. This…

When a dog starts refusing food, aroma is the only lever left. Lamb with the sweetness of sweet potato is one of the most tempting combinations in the late-stage half. This recipe is formulated for dogs in IRIS stage 3…

Caring for a dog in advanced kidney failure is tiring enough. This one uses minced turkey so there is no chopping at all, and it is done in 25 minutes – the least demanding recipe in the late-stage half. This…

At 42 g of protein per 1000 kcal this is the lowest-protein recipe in the book, intended for dogs showing uraemic signs where the vet has asked for further protein reduction. Use it under veterinary direction. This recipe is formulated…

Red meat is still allowed in advanced disease, just in smaller amounts. This uses only 300 g of beef round with egg white carrying the rest of the protein, holding phosphorus at 500 mg per 1000 kcal while potassium reaches…

At 49 g of fat per 1000 kcal this is the most energy-dense late-stage recipe in the book. When a dog will only manage a few mouthfuls at a time, what those mouthfuls carry starts to matter a great deal.…

In late-stage recipes potato is the lead, not the side. It carries almost no phosphorus while supplying plenty of potassium and energy, with a small amount of pork tenderloin covering essential amino acids and egg white making up the rest.…

In advanced kidney disease appetite is the real enemy. The aroma and higher fat of chicken thigh, at 40 g per 1000 kcal, make this more tempting than most late-stage recipes, and the extra energy helps when weight starts to…