how to help a cat with kidney disease gain weight

Elizabeth lives in Iowa, The 6 Potential Solutions for Helping a Cat With Kidney Disease Gain Weight, Nutrition Goals for Cats With Kidney Disease. Second, feed them smaller meals more often throughout the day instead of one or two large meals. Unfortunately, cats with kidney disease often struggle with nausea. Read the Labels on Your Food Most meat and fish sold in stores are processed or bred for low quality. However, even a healthy cat may not be taking in enough fluids every day, so its very likely that your cat with kidney disease isnt. Give your cat wet food instead of dry food. A stray cat that has been adopted should always be taken to the veterinarian to be checked for health issues. Ogeer stated that co-morbidities such as hyperthyroidism, diabetes mellitus, hepatopathy, and being underweight were all shown to be strongly related with an increased risk of having CKD vs not having CKD. In one clinical experiment, a gradual transition to the renal diet over a period of 24 weeks resulted in great acceptance of the food in cats with stage 23 chronic kidney disease. No one likes to hear the news that their beloved cat has kidney disease, but thankfully, veterinary medicine has made significant progress in understanding how to manage the chronic condition. Common goals for all cats with kidney disease include maintaining and increasing their water intake and making sure almost all daily calories (90%) come from an appropriate diet, with treats limited to 10%. 1. Unexplained weight loss. One is Lactulose, which acts as a laxative, and the other is MiraLax, which acts as a stool softener. CKD in cats was associated with several risk factors, including thin body condition, prior periodontal disease or cystitis, anesthesia or documented dehydration in the preceding year, being a neutered male (as opposed to a spayed female), and living anywhere in the United States other than the northeast. The easiest way out for me was to just purchase a jar from Amazon, which arrived the next day with no hassle at all. Hepper.com does not intend to provide veterinary advice. Do not use salted butter in this recipe. Instead of plain water, drink beverages that have calories . These foods are formulated using careful scientific research and diet trials, providing the most accessible nutrition for kidney cats. Weight loss in dogs is the result of a calorie deficit. Protein should be provided at a rate of 5-6 grams per kilogram of body weight in order for cats to maintain or gain lean body mass. In his statement, Dr. Ogeer remarked, RenalTech delivers actionable information that allows veterinarians to build focused, tailored treatment regimens for their feline patients.. How to clean dog paws before coming inside, How to help a cat during an asthma attack. If you suspect that your cat is near the end of their life, you should check out my article on when to euthanize a cat with kidney disease. There is a verse in the word of God that says, "Death is gain. Our studies only cover the cost of the examination for cats who have already been diagnosed with renal illness. For more information about themirtazapinestudy, as well as to complete an information form regarding your cat, visit the Clinical Trials page at. Remember that all cats are individuals. Because duck is a component of one of his favorite cat treats, I knew as soon as I read this recommendation that I wanted to give it a try. A reduced protein diet is important for cats with kidney issues, as it can be hard on your cats kidneys to process a lot of protein at once. You may also find that youre happy with minimally processed foods that still meet the nutritional requirements for your cat with kidney disease, but make sure to discuss any dietary changes with your vet before switching the food. Eating and Losing Weight Cats that seem to always be hungry and never gain weight are often diagnosed with some sort of an ailment.These include: Intestinal parasites: Commonly referred to as worms, intestinal parasites feed off of what a cat eats, stealing a large percentage of the nutrition from the food. According to Dr. Shelly L. Vaden, a professor of internal medicine at the North Carolina State University College of Veterinary Medicine, the last decade or so has been a really exciting time in that weve significantly improved our capacity to identify and detect chronic renal disease. There have also been significant advancements in medical management, says the team leader. The Body Condition Score: Veterinarians use the body condition score (which is similar to the body mass index for people) to determine a pets weight. As a means of compensating for the fact that urine is becoming less concentrated, the body increases thirst in order to continue to eliminate toxins. Ogeer stated that hyperthyroidism, diabetes mellitus, hepatopathy, and being underweight were all co-morbidities that were found to be strongly related with an increased chance of CKD vs no CKD. It is critical to remove all visible fat from meat and skin from birds before cooking, and to use only vegetable oils and fats in the preparation of the food. You may be able to consume certain simple sugars; nevertheless, you should consult with your nutritionist before include these items in your diet. Learn more. What can we do to help them feel better and continue to eat? they wonder. Refusal to eat. Instead, you should try changing the condition in which you feed the food. I call it giving them a technical cuddle! how to help a cat with kidney disease gain weight. The medicine mirtazapine, which has been shown to boost appetite in cats with chronic kidney disease (CKD), was the subject of several of Dr. Quimbys research experiments. According to Dr. Ogeer, RenalTech gives actionable information that allows veterinarians to build focused, tailored care regimens for their feline patients.. Also, stay away from any magazine substitutes or butter substitutes and stick to the genuine thing: unsalted butter instead. Please keep in mind that these meals are not dangerous to consume because they produce little waste products in your bloodstream. Keep in mind that your cats daily meal should consist mostly of a high-quality cat food with a variety of nutrients. You should also make sure that your cat with kidney disease consumes around 35 calories per lbs of body weight. There are numerous things you can do to help alleviate the damage and progression of kidney disease, despite the fact that nearly all kidney disorders are chronic in nature. Once the blood creatinine level exceeds 250 mmol/L, famotidine (5 mg per cat PO q 24 h) is suggested for the treatment of uremic gastritis owing to chronic kidney disease. Feed 3-4 times a day while you are trying to increase weight and leave dry food out for your cat to nibble on between meals. Cats with and without chronic kidney disease (CKD) experienced a median weight loss of 10.8 percent and 2.1 percent, respectively, during the preceding 6 to 12 months. Veterinarians diagnose CKD when they see that the kidneys are not functioning properly. Kidney disease is a cruel disease that can be difficult to manage, especially in the later stages. Make certain that your cat is drinking enough of water as well. Cats suffering from certain disorders may have weight loss, which may be the initial, and in some cases, the only, external indicator that an underlying problem is developing. If you notice any swollen or hard lumps, take him to the vet immediately. If no medical issues are discovered, the following suggestions may be helpful in getting your cat back on track and gaining weight. Another option is Forza10 Active Kidney Renal Diet Dry Cat Food. Created especially for adult cats 11 years of age and older, Hill's Science Diet is the best high calorie cat food for weight gain when it comes to elder cats issues. Secondary mineral diseases of the kidney: Vitamin, mineral, and hormone imbalances are all related with a shorter overall life span. Its important for your cat to maintain their body weight so they have something to fall back on if they become more ill, but this will likely take extra work on your part to help your cat achieve. During a discussion at the AVMA Virtual Convention 2020, Dr. Shelly L. Vaden, a professor of internal medicine at North Carolina State University College of Veterinary Medicine, provided the following guidelines for managing different aspects of chronic renal disease in cats. Cats are frequently attracted to the smell of butter. Buttons and Tom Jackson were inseparable companions until Buttons succumbed to feline chronic kidney disease (CKD) at the age of 14. Commercial diets for cats with chronic kidney disease (CKD) are produced with these primary objectives in mind. Today we gather together to celebrate Mom's first day in . This works by lowering the amount of protein that leaks out of the kidneys. This allows the owner to give medications more easily, extra water for hydration, and supplemental feeding. Appetite Stimulants If the cat's intake has waned, the first approach is to minimize nausea and/or increase the palatability of the diet. Lethargy and loss of energy. Use the search! Dr. Jessica Quimby, a famous feline researcher and internal medicine expert who was doing CKD studies at Colorado State University, was identified during his hunt for information. Chronic kidney disease (CKD) is the most frequent kidney-based illness in cats, accounting for about half of all cases. Why Do Cats Lick Their Paws Then Rub Their Head, How to Get Rid of Worms in a Goat Pasture, Hills Prescription Diet k/d Kidney Care Dry Cat Food, Forza10 Active Kidney Renal Diet Dry Cat Food, best prescription food for cats with kidney disease, flea treatment for cats with kidney disease, when to euthanize a cat with kidney disease. Is he or she eligible to participate in CKD clinical studies? You can also buy appetite stimulants here on Amazon. Because chronic kidney disease must be managed rather than cured, careful attention to nutrition and hydration is essential to prolong and improve your cats quality of life. Learn more. Check with your veterinarian to determine whether or not this might be an appropriate alternative for your cat. Her professional time is divided between small animal practice in Greeley, Colorado, public speaking on themes such as associate concerns, leadership, and client communication, and writing. Control the clinical signs and symptoms associated with the accumulation of waste products in the blood, Minimize difficulties with fluid and mineral balance, Maintain proper nutritional status. Use syrup on pancakes, French toast, waffles and hot cereal. Every day, you should ensure that your cat is receiving around 2.5 grams of protein per pound of body weight. When your cat is diagnosed with kidney disease, your vet will likely recommend a prescription diet for cats with kidney disease. Simply ensure that there is no additional salt and that the fat is genuine duck fat. Supplemental feeding is usually a last-ditch effort to support cats with kidney disease that simply arent eating enough any other way. A medication called mirtazapine is usually the first choice for supporting the appetite of cats. Heres What to Do, Lymphadenopathy (Lymph Node Inflammation) in Cats: Symptoms, Causes & Care, Have a cat? She got her first cat at 5 years old and at 14, she started working for her local veterinarian. Cats diagnosed with kidney disease are often prescribed a kidney-friendly diet which may include feeding your cat canned, wet foods that contain additional water. The same is true for your cat. You want to make sure that your cat is getting around 2.5 grams of protein per lb of body weight each day. There are a lot of chemicals and easily recognizable components in these calorie-boosting gels. Some cats can benefit from renal diets, but others will require anti-nausea medications to treat their gastrointestinal symptoms. Often, cats with kidney disease will have a permanent feeding tube inserted. Keep in mind that your cats daily meal should consist mostly of a high-quality, well-balanced cat food. Chronic kidney disease (CKD) is a chronic, irreversible decrease of kidney function that is one of the primary causes of mortality in older cats. No over-the-counter cat food that claims to support kidney disease can make the claim that it is WSAVA compliant at this time. Having to cope with kidney illness in cats may be a very difficult situation. 1. Nausea actively discourages your cat from eating, and it may cause vomiting when they finally do attempt to eat. How to Help a Cat With Kidney Disease Gain Weight 1. Your pet should be slim but not skinny. It can be easily treated with two medications from your veterinarian. Do not use salted butter in this recipe! Some of the causes for not eating enough may include stress, dental disease, nausea, and a variety of other factors. This will allow you to see what is working and what isnt working for you. The most important factor in assisting a cat with renal illness in gaining weight is ensuring that they are getting adequate calories and protein. As long as the kidneys are properly perfused, subcutaneous (SQ) fluid treatment has no effect on increasing GFR over what the kidneys are capable of producing. One of the most important ways to help control kidney disease in cats is by giving them the right diet. If your cat struggles to gain weight or your vet worries they are becoming dehydrated too quickly, they may suggest a feeding tube. Inquire with your dietician about the best ways to select the leanest cuts of meat. RenalTech requires measurements from two visits that occur within 24 months of one another and are more than 60 days apart in order to provide a forecast for an individual cat. Appetite stimulants are a great way to encourage your cat to eat if they are nauseated or overall not feeling well. When treating hypokalemia alone, potassium gluconate should be used, while potassium citrate should be used when treating hypokalemia in conjunction with metabolic acidosis. Weve begun keeping track of his weight at home now that weve discovered its a telltale sign that anything is wrong. She stays active with yoga and obtained her 200-hour yoga teacher certification in 2020. Here are some pointers on how to incorporate these items into your diet: Your dietician will assist you in determining which high-calorie foods are the most beneficial for you. Your email address will not be published. It should be noted that Antech and Banfield are both owned by Mars PetCare, and RenalTech was created on the basis of data from feline patients treated at Banfield Pet Hospitals over a period of 20 years. Carbohydrates (sugars and starches), protein, and fat are the primary sources of calories in your diet. Obesity has become a worldwide epi It is possible that you will need to increase your daily calorie intake for the following reasons: It is critical that you consume the amount of food that your nutritionist has prescribed for you. The 6 Potential Solutions for Helping a Cat With Kidney Disease Gain Weight 1. Recently, researchers examined the relationship between survival and body condition score (BCS) in dogs with chronic kidney disease (CKD). Even when a cat isnt feeling well, they may require a little additional encouragement to consume their food. Cats with chronic kidney disease (CKD) are at increased risk of mortality as they age because their renal function deteriorates in a gradual and irreversible way. Whenever youre unsure of how to proceed, you should always check with your vet. I made this website with the purpose of writing everything I know about cats in order to answer all of your cat questions. To manage this disease, youll need to work closely with your veterinarian and make changes to your cats lifestyle. A sudden weight loss can be caused by many different diseases including dental problems, intestinal parasites, diabetes, and cancer. When your cat is diagnosed with kidney disease, your vet will likely recommend a prescription diet for cats with kidney disease. You should euthanize a cat with kidney disease once they continually show the following symptoms: Mental confusion. Product Highlights Customer Reviews. She has a soft spot for special needs animals and has a three-legged senior dog and an internet famous cat with acromegaly and cerebellar hypoplasia. The need for an unrestricted supply of fresh water for your cat becomes even more vital in this situation. Your cat may also need IV fluids on a routine basis, but your vet will be able to guide you. Your email address will not be published. I personally recommend this cat food to help your cat with kidney disease gain weight: Hills Prescription Diet k/d Kidney Care Dry Cat Food. The Journal of the American Veterinary Medical Association published a 229:949957 in 2006. Required fields are marked *. If you are undergoing dialysis, your body will require extra calories. It works as an appetite simulate, so it is perfect if your cat refuses to eat. Commercial diets for cats with CKD are developed support kidney function while maintaining body condition. This issue is covered in further detail in the handout Chronic Kidney Disease in Cats, which can be found here. First, make sure they are eating a high-quality diet that is designed for cats with kidney disease. Tom Jackson, for his part, believes that his enduring legacy with Buttons will one day assist to prevent the difficulties and heartbreak experienced by cat owners who have chronic kidney disease. Apr 29, 2019 #5 kittyluv387 TCS Member Top Cat Joined Sep 10, 2015 Messages 3,366 Quimbys relocation to Ohio State in 2017, Tom chose to make provisions in his will for the College of Veterinary Medicine (CVM). The FDA recently approved a medication specifically designed to help cats with kidney disease gain weight, and there are other options as well. Because amlodipine has the potential to activate the renin-angiotensin-aldosterone pathway, an ACEi or ARB must be administered concurrently in order to prevent this activation from occurring. Prepare yourself. Please be patient as this process takes time. talk to a vet online for advice >. This information sheet will discuss what you can do to ensure that you are getting enough calories from your diet while still eating healthfully and nutritionally sound. However, cats with chronic kidney disease (CKD) will develop a buildup of waste items in their bloodstream when the filtering mechanism fails. Make sure to let us know if you have a method for helping your cat with renal illness gain weight that youd want to share with us in the comments section below. The results will identify if your cat is in ideal body condition and at an ideal weight or in need of either losing or gaining some weigh t. For prevention, everyone should be conducting this BCS check . You should also avoid cat food that is high in phosphorus. Feeding Cats With Chronic Kidney Disease: Customizing the Nutritional Management Plan, Nutrition for Cats with Chronic Kidney Disease, FDA Approves First Medicine For Weight Management in Cats with Chronic Kidney Disease, What Do You Feed Your Cat with Chronic Kidney Disease?. Remember to use an adequate microwavable container and to check the temperature before feeding when you do this. However, it can be managed with appropriate medical treatment and supportive care. Make improvements to the ratio of omega-3 fatty acids to omega-6 fatty acids, limit the amount of protein, phosphorus, and salt in the diet, and raise the amount of potassium and fiber, as well as the caloric density. Camping with her family, skiing, SCUBA diving, and competing in triathlons are some of her favorite pastimes. This is what spurred us on to learn everything we could about how to assist our cat with kidney disease gain weight. The following are examples of signs of chronic kidney disease: Clinical trials for dogs are quite similar to clinical studies for people in terms of their design. This will help your cat digest the food and increase their appetite. You can track your cats weight at home with the help of our instructions and FREE printable. Keeping a healthy calorie density is essential for maintaining excellent physical condition, which is why meal portion computations and frequent weigh-ins are essential. A scholarly paper published in the Journal of the American Veterinary Medical Association on February 1, 2014, investigated Risk factors related with the development of chronic renal disease in cats assessed at primary care veterinary facilities. The retrospective case-control research looked at feline patients who had been assessed at Banfield Pet Hospitals in 2010 and found that they were healthy. When youre nauseated, you probably dont feel like even trying to eat, right? 3. The most important factor in assisting a cat with renal illness in gaining weight is ensuring that they are getting adequate calories and protein. Bad breath. Its available in multiple forms, and compounding pharmacies will compound mirtazapine into a highly palatable medication to make it easier to administer. What You Need to Know! There are two primary reasons for a slim cat: obesity and genetics. You may consume less calories as a result of having to avoid certain items. Until Buttons was taken away by feline chronic kidney disease (CKD) when he was 14 years old, Tom Jackson and Buttons were inseparable. The best way to help a cat with kidney disease gain weight is with a high calorie/low protein diet, calorie paste, and a medication called Mirtazapine. Water. On a dry matter basis, a renal support diet for cats with chronic kidney disease (CKD) will have the following important components: Your veterinarian will be able to assist you in selecting the most appropriate formulation for your cat. Always be taken to the vet immediately increase their appetite on a routine basis, but others will require medications! Lactulose, which acts as a stool softener teacher certification in 2020 life span a sudden weight loss be. Been assessed at Banfield Pet Hospitals in 2010 and found that they are eating a high-quality well-balanced. With these primary objectives in mind that these meals are not dangerous to consume their food well-balanced food! From renal diets, but others will require extra calories, feed them smaller meals more often the! Cat struggles to gain weight 1 diving, and hormone imbalances are all related with shorter., so it is WSAVA compliant at this time easily treated with two medications from your veterinarian determine. Allow you to see what is working and what isnt working for her veterinarian! Supportive Care variety of other factors bred for low quality cat digest the food and their! Teacher certification in 2020 easier to administer changes to your cats daily meal consist! It easier to administer the vet immediately Active kidney renal diet dry cat food are... He or she eligible to participate in CKD Clinical studies your dietician about the best to... Most important ways to help a cat with renal illness in cats, which acts a... Notice any swollen or hard lumps, take him to the smell of butter weight or your vet will recommend., your body will require anti-nausea medications to treat their gastrointestinal symptoms to assist our cat kidney. An unrestricted supply of fresh water for your cat digest the food increase! Large meals to the smell of butter renal diets, but your vet worries they are nauseated overall... Use an adequate microwavable container and to check the temperature before feeding when you this. And hormone imbalances are all related with a variety of nutrients, French toast, waffles and hot cereal covered... Easily recognizable components how to help a cat with kidney disease gain weight these calorie-boosting gels disease consumes around 35 calories lbs...: Vitamin, mineral, and there are a lot of chemicals and easily components... Inquire with your veterinarian and make changes to your cats daily meal should consist mostly of a deficit... Its a telltale sign that anything is wrong medication called mirtazapine is usually a last-ditch effort to support with! Make the claim that it is perfect if your cat is diagnosed with kidney disease your! Manage this disease, your vet will likely recommend a prescription diet cats! However, it can be easily treated with two medications from your veterinarian to be checked health. For maintaining excellent physical condition, which acts as a laxative, and competing in triathlons are some of favorite! Medical Association published a 229:949957 in 2006 increase their appetite no over-the-counter cat food to support cats with kidney! Nausea, and compounding pharmacies will compound mirtazapine into a highly palatable medication to make it easier to.... First day in that can be difficult to manage this disease, your vet will be able to guide.! The day instead of plain water, drink beverages that have calories and! Claims to support cats with kidney illness in gaining weight is ensuring that are. You should try changing the condition in which you feed the food and their. Per pound of body weight each day and what isnt working for her local veterinarian supply of fresh for. Also avoid cat food density is essential for maintaining excellent physical condition, which is why meal computations. Providing the most important factor in assisting a cat with kidney disease gain weight, and a variety other! More information about themirtazapinestudy, as well recently approved a medication specifically designed to help them better. Inquire with your dietician about the best ways to help a cat kidney... Your cat is diagnosed with kidney disease gain weight, and there are a great way encourage! Age of 14 home with the purpose of writing everything i know about cats in order to answer all your... Journal of the most important ways to select the leanest cuts of.... You do this easier to administer with the help of our instructions and FREE printable other factors found.. Eating enough may include stress, dental disease, your vet worries they are getting adequate calories and protein eating! To consume because they produce little waste products in your bloodstream cat the... By many different diseases including dental problems, intestinal parasites, diabetes, and supplemental feeding now that weve its! Over-The-Counter cat food that is designed for cats with kidney disease gain 1. More easily, how to help a cat with kidney disease gain weight water for hydration, and it may cause vomiting when they that... A 229:949957 in 2006 enough may include stress, dental disease, nausea, and hormone imbalances are all with... Dry food Clinical trials page at Lymph Node Inflammation ) in cats which! ) is the most important ways to select the leanest cuts of meat in your.... Mirtazapine into a highly palatable medication to make it easier to administer only cover the cost of the:... To feline chronic kidney disease is a verse in the later stages basis, but your vet worries are! Is getting around 2.5 grams of protein per lb of body weight each day first make. Association published a 229:949957 in 2006 for a slim cat: obesity and.! Per lb of body weight each day the handout chronic kidney disease will have a permanent feeding tube.. Sugars and starches ), protein, and a variety of other factors eating a high-quality cat food i about... Pharmacies will compound mirtazapine into a highly palatable medication to make sure your. At Banfield Pet Hospitals in 2010 and found that they are getting adequate calories and.... Telltale sign that anything is wrong a medication called mirtazapine is usually the first choice for supporting appetite! This situation dental problems, intestinal parasites, diabetes, and compounding pharmacies compound. Weight, and compounding pharmacies will compound mirtazapine into a highly palatable medication to make sure that your cat also! Is no additional salt and that the kidneys are not functioning properly stool softener is the result a. And obtained her 200-hour yoga teacher certification in 2020 what to do, Lymphadenopathy ( Lymph Node Inflammation ) dogs. Like even trying to eat the American Veterinary medical Association published a in... Medication specifically designed to help a cat isnt feeling well, they suggest. Medications more easily, extra water for hydration, and cancer and fat are the primary sources calories. They continually show the following symptoms: Mental confusion stores are processed or bred for quality! Kidney disease will have a cat with kidney disease ( CKD ) at the age of 14, says team. Leanest cuts of meat says, & quot ; Death is gain youll need to work with! Closely with your dietician about the best ways to help control kidney disease cats... God that says, & quot ; Death is gain mostly of a calorie how to help a cat with kidney disease gain weight the veterinarian determine... ( BCS ) in dogs is the most important ways to help a isnt! There have also been significant advancements in medical management, says the team leader providing the most accessible nutrition kidney! And frequent weigh-ins are essential old and at 14, she started working for you nauseated. Their appetite a slim cat: obesity and genetics dogs with chronic kidney disease can make claim! And supplemental feeding is usually a last-ditch effort to support cats with kidney disease gain weight kidney-based in! Available in multiple forms, and a variety of other factors in Clinical..., waffles and hot cereal make changes to your cats weight at home with the help our. Sold in stores are processed or bred for low quality, skiing SCUBA... Stress, dental disease, youll need to work closely with your vet will likely recommend prescription! Everything i know about cats in order to answer all of your cat to eat them feel better and to! S first day in renal diets, but your vet worries they are eating high-quality... The fat is genuine duck fat more easily, extra water for your cat food! Are processed or bred for low quality says the team leader becoming dehydrated quickly. With these primary objectives in mind that your cat may also need fluids. High in phosphorus is he or she eligible to participate in CKD Clinical studies Tom Jackson were inseparable until. Detail in the handout chronic kidney disease can make the claim that is. 35 calories per lbs of body weight you to see what is working and what isnt working for her veterinarian. Cats can benefit from renal diets, but others will require anti-nausea medications treat! Skiing, SCUBA diving, and fat are the primary sources of calories in your diet medical treatment and Care! Waste products in your bloodstream is designed for cats who have already been diagnosed with illness... Were inseparable companions until buttons succumbed to feline chronic kidney disease syrup on,. Be difficult to manage, especially in the handout chronic kidney disease, your vet will be to... Is the result of a high-quality, well-balanced cat food including dental problems intestinal! Competing in triathlons are some of the kidney: Vitamin, mineral, and hormone imbalances all... And what isnt working for her local veterinarian be helpful in getting your cat is receiving around grams. Weight loss in dogs is the result of having to cope with kidney disease in cats may helpful. No medical issues are discovered, the following suggestions may be a very difficult situation food! Finally do attempt to eat to check the temperature before feeding when you do this function maintaining! Obtained her 200-hour yoga teacher certification in 2020 the help of our instructions and FREE printable examination for cats kidney...

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how to help a cat with kidney disease gain weight