CKD in Pets: Cost, Prevention & Supplement Myths Explained by Dr. Hu Yu-Yen (Part 2)

Kidneys — The Silent Organ
When the kidneys become diseased, symptoms don’t always appear, and often no signs are felt at all. This causes many pet parents to only discover their beloved companions have developed chronic kidney disease (CKD) once the illness has already reached the late stages.

This interview focuses on the “silent killer” in dogs and cats — CKD. We visited Dr. Hu Yu-Yen, Director of the Nephrology Critical Care Department at Chung Hsing Animal Hospital in Kaohsiung (specializing in kidney research and dialysis treatment for dogs and cats), to have him debunk the top 9 kidney disease myths that pet parents most often have.


Q6: When a dog or cat is diagnosed with CKD, how much does treatment typically cost per year (including check-ups, prescription diets, and at-home care)?

Based on the CKD pets I’ve treated, along with data from published studies, there are general treatment guidelines for each stage, from stage 1 to stage 4. For example:

  • Stage 2: switch to prescription diets
  • Stage 3: begin subcutaneous fluid therapy
  • Stage 4: possibly require tube feeding

Here is a cost estimate for a stage 3 CKD pet:

  • Animal weight: 5 kg
  • CKD stage: Stage 3, stable condition
  • Treatment plan: regular check-ups, lab monitoring (blood tests, kidney markers, red and white blood cells, electrolytes, urine protein), subcutaneous fluids, prescription food, and supplements

Estimated yearly costs:

  • Follow-up visits: NT$4,000/month → NT$48,000/year
  • Medications: NT$4,000/month → NT$48,000/year
  • Subcutaneous fluids: NT$2,000–4,000/month → NT$24,000–48,000/year
  • Prescription diet: NT$1,000–2,000/month → NT$12,000–24,000/year
  • Supplements: NT$2,000–4,000/month → NT$24,000–48,000/year

Total: Approximately NT$156,000–216,000 per year

This estimate reflects only the most basic treatments and diet, and actual costs will vary depending on each pet’s treatment plan.

For acute kidney failure, initial fluid therapy may cost at least NT$20,000–30,000 per week. In more severe cases requiring hemodialysis or peritoneal dialysis, costs may reach NT$50,000 to even NT$100,000.


Q7: Since water intake is closely related to CKD, what are effective ways to encourage dogs and cats to drink more water?

Sometimes the solution comes from asking why they aren’t drinking. For example, if a dog is in pain and less active, their metabolism slows down and naturally, so does water intake. By keeping CKD pets active, the brain receives signals to “drink more water,” which encourages hydration. This is why we often advise owners to stimulate activity and boost metabolism.

Other helpful tips:

  • Observe whether your pet likes the water bowl’s material, depth, or height. Adjust placement or increase the number of bowls if needed.
  • Cats are often picky with water — a drinking fountain with flowing water may help.
  • Offer positive reinforcement after drinking: treats, cuddles, praise.
  • Add a small amount of honey or bonito flakes to water for flavor enhancement.

Q8: Besides water intake, what other preventive measures can reduce the risk of CKD in dogs and cats?

Because kidney disease is irreversible, prevention is critical.

  • Understand the animal’s physiology, diet, and habits: Knowing these helps identify their predispositions and possible triggers.
  • Regular check-ups: Early detection through routine tests allows timely intervention and care. Owners should also recognize CKD symptoms — for example, cats suddenly drinking and urinating excessively, or having bloody/foamy urine — which signal kidney dysfunction requiring immediate veterinary care.
  • Manage chronic diseases: For dogs, CKD often arises from complications of other chronic illnesses, such as periodontal disease, arthritis, or cardiovascular disease. Preventing and managing these conditions is vital.
  • Use targeted supplements: For instance, RenoShield’s 3-in-1 exclusive golden formula uses advanced extraction and encapsulation techniques to improve nutrient absorption, supporting kidney health and normal metabolism.

Q9: Can dogs and cats without CKD also take kidney supplements?

Yes. Taking supplements is like buying insurance — it helps with prevention or delaying disease onset and doesn’t place a heavy burden on the body.

For example, my own dog “Huazhiwan” (a Maltese–Spitz mix) is now 11 years old and is currently taking RenoShield. His kidney indices remain completely normal, with no abnormalities, and he stays energetic. The key is building muscle mass early in life, reducing pain risks, and slowing organ aging. This improves quality of life and, even if chronic disease develops later, it can still extend lifespan.

That said, I recommend consulting a veterinarian before starting any supplement. Dosage matters, and we tailor care plans to each individual pet’s health condition.


Reference: https://lihi1.cc/dobQL

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