The Best Homemade Cat Food Recipes For Kidney Disease

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Dietary modification is one of the few effective treatment options for cats with kidney disease. A diet restricted in phosphorus and sodium that is formulated with restricted highly digestible animal proteins helps protect kidney function and reduce the workload to keep your cat well.

Therapeutic diets are readily available in both dry and wet foods for cats, but there are other options available for cats with renal disease. If you want to have complete control over the quality and nutritional composition of your cat’s diet, it’s worth considering homemade cat food.

A Quick Overview Of Kidney Disease In Cats

Before talking about nutritional management of kidney disease in cats, there are a few details you need to know about this condition.

There are several different forms of kidney disease in cats, but chronic kidney disease (CKD) is the most common.

The kidneys filter waste products out of the bloodstream but when they stop working properly, those waste products begin to accumulate. Common symptoms of CKD include lethargy, poor coat quality, weight loss, and loss of appetite.

Another form of kidney disease in cats is polycystic kidney disease (PKD). This is an inherited condition that causes fluid-filled sacs called cysts to grow in the kidneys. At birth, these cysts are small enough that they don’t cause issues, but they will eventually grow in size and number, doing more and more damage to the cat’s kidneys. Eventually, as kidney function declines, the cat can go into kidney failure.

For more in-depth information about PKD, check out our in-depth article.

According to the Cornell Feline Health Center, the diagnosis of kidney disease typically involves blood tests and urinalysis to evaluate kidney function. These tests measure the concentration of waste products in your cat’s blood as well as other factors that indicate abnormal kidney function.

Unfortunately, there is no definitive cure for the various forms of kidney disease.

Dietary modification is generally the best option, though some cats may need additional therapy to control hypertension, anemia, high phosphate levels, and urinary protein loss. Your veterinarian is the best person to determine what kind of treatment will work best in your cat’s specific case.

Nutritional Management Of Kidney Disease

When it comes to managing kidney disease through dietary modification, there are three primary factors to focus on:

  1. Restricted high-quality protein
  2. Low phosphorus content
  3. Relatively low sodium content

Increased intake of omega-3 fatty acids and B vitamins may help as well. It’s also important to ensure that your cat gets plenty of moisture in his diet. Cats with kidney disease often experience an increase in urination which may lead to dehydration if the cat doesn’t drink more water or have enough moisture content in their diets to compensate.

1. Restricted High-quality Protein Is Easier For Your Cat’s Body To Process.

For years, a low-protein diet was recommended for cats with kidney disease, but extreme protein restriction may lead to protein deprivation with accompanying loss of muscle mass and declining body condition. Rather than feeding very low amounts of protein, consider feeding your cat restricted amounts of highly digestible, low-waste proteins derived from animal sources.

2. Low-phosphorus Foods Will Help Maintain Kidney Function.

Kidney Failure in Cats Diagnosis Cat at Veterinarian

Your veterinarian can diagnose your cat with kidney failure by performing blood tests

When the kidneys start to shut down, they can no longer filter out phosphorus efficiently. High concentrations of phosphorus in the blood lead to even faster declination of kidney function. The ideal phosphorus content of a diet for cats with kidney disease is no more than 0.5% on a dry matter basis.

3. Limited Sodium Content Helps Prevent Kidney Damage.

Kidney Failure in Cats Symptoms Cat in Litter Box

Excessive thirst and urination are among the most recognizable symptoms of kidney failure in cats.

High sodium intake can increase your cat’s blood pressure and may worsen kidney damage. This being the case, most therapeutic diets for kidney disease are low in sodium. Martha G. Cline, DVM, ACVN, notes that the sodium content of the typical renal diet for cats with kidney disease ranges from 0.5 to 1 gram per 1,000 kcal.

Are Prescription Diets An Appropriate Choice?

Kidney Failure in Cats Feature

While it may be simple to transition your cat onto a therapeutic veterinary diet like Hill’s Prescription Diet or Royal Canin Veterinary Diet, this isn’t the only option available.

Prescription and therapeutic diets specifically formulated for kidney disease typically check all the boxes in terms of caloric density, restricted protein, and controlled sodium and phosphorus levels, but they can sometimes leave something to be desired in terms of nutritional quality.

These foods tend to be loaded with carbohydrates (often low-value grains like corn and wheat). They often contain added sugar and potentially low-quality animal by-products.

Some brands are a little better than others. Blue Buffalo Natural Veterinary Diet K+M Kidney + Mobility Support wet food, for example, doesn’t contain by-products and it is made with quality sources of protein like chicken, beef, and chicken liver. It is, however, still very high in carbohydrates and contains carrageenan as a thickener.

The only way to truly control the quality and formulation of your cat’s diet may be to make the food yourself.

Making your own cat food can be tricky because you have to make sure it is nutritionally balanced, but once you find the right recipe all you have to do is reproduce it. The best place to start is with a recipe formulated by a licensed veterinarian or veterinary nutritionist.

What Does Homemade Cat Food For Kidney Disease Look Like?

Any nutritionally balanced homemade cat food should meet (but ideally exceed) the Association of American Feed Control Officials’ (AAFCO) minimum nutritional requirements for cats. According to AAFCO, adult cats require a minimum of 26% protein and 9% fat on a dry matter basis.

The trouble with traditional homemade cat food recipes is that they may contain too much phosphorus and sodium. They may also have too much protein, depending on your vet’s recommendations.

A homemade cat food for cats with kidney disease should be aligned with the dietary modification recommendations made above. It should also be made with fresh, high-quality ingredients. Source your proteins from human-grade facilities that have been certified by the FDA and the USDA. Consider grass-fed meats, free-range poultry, and wild-caught fish.

Protein is an absolutely essential element in a diet for obligate carnivores like your cat, but it’s important to keep it in balance for cats with kidney disease.

If you restrict the protein content of the food too much, you’ll end up increasing the ratio of the other two macronutrients: fat and carbohydrate. This is why many homemade cat food recipes for kidney disease contain added carbohydrates like rice or fresh veggies.

The upside of including carbohydrates in your cat’s diet is that they provided an added source of dietary fiber and antioxidants. They also help keep the caloric density in balance. Carbohydrates contain only 4 calories per gram while fat contains 9 calories per gram.

While you’re thinking about homemade cat food for your cat, you may find yourself considering raw food. Raw food is generally a healthy option for cats, especially when it consists only of fresh meat, organ meats, raw bone and is nutritionally formulated and balanced.

However, raw diets may not be appropriate for all cats with kidney disease.

There is some concern that the inclusion of bone in a raw food diet might increase the phosphorus content too high for cats with kidney disease. Lyn Thomson, BVSc of suggests, however, that it’s really the calcium: phosphorus ratio that matters most.

In her own practice, Thomson finds that CKD patients do well on a raw food that contains ground bone. In patients where blood phosphate levels start to approach unsafe levels, she simply administers phosphate binder.

If you’re concerned about your cat on a raw food diet, discuss the options with your veterinarian and keep a close eye on your cat’s bloodwork.

Generally speaking, a raw food diet checks all the boxes that a nutritious diet for cats with kidney disease should. It features high-quality, digestible animal protein with high levels of moisture. Organ meats provide natural sources of B-vitamins. Wild-caught prey contains high levels of essential fatty acids, though diets founded on farmed meats may require some omega-3 supplementation.

The Best Homemade Cat Food For Cats With Kidney Disease

cat and vet-compressed

This recipe was developed by Dr. Meredith Wall, BA, BVSc. Wall completed a Bachelor of Veterinary Science at the University of Sydney in 2012 and a combined clinical nutrition residency and PhD at Massey University in 2022.

In an in-depth article published in January 2020, Wall answers the question: “Should I feed my cat with chronic kidney disease a raw diet.” The article discusses the potential problems with protein restriction and explores the subject of supplementation as part of a raw diet for cats with kidney disease. After testing and evaluating the nutritional content of several recipes, she settled on the following recipe as her primary recommendation.

NOTE: Wall recommends using a digital kitchen scale to ensure accurate measurements. Measure all quantities precisely – do not estimate.

Chicken And Salmon Homemade Cat Food


  • 470 grams raw chicken thigh (skinless and boneless)
  • 30 grams canned pink salmon (including bones and skin)
  • 90 grams salted butter, softened
  • 220 grams cooked short-grain white rice
  • 100 grams raw pumpkin, chopped
  • 60 grams raw spinach (stems removed)
  • 1 gram iodized table salt


  • 7ml Nordic Naturals omega-3 pet liquid
  • 5g Now Foods psyllium husk powder
  • 2 capsules (contents only) Now Foods taurine (1000g each)
  • 1 capsule (contents only) Thorne Research Basic B Complex
  • 6 capsules (contents only) Thorne Research BioMins with copper and iron
  • 2 level teaspoons Now Foods calcium carbonate powder
  • ¼ level teaspoon Now Foods potassium chloride powder
  • 3 tablets (crushed) Country Life choline tablets
  • 2 drops Now Foods natural E-oil


  1.   Steam the rice until it is a little overcooked – it should be very soft.
  2.   Allow the rice to cool slightly then measure out to 220 grams you need into a bowl and stir in the softened butter until it melts.
  3.   Combine the pumpkin and spinach in a microwave safe bowl with a teaspoon of water. Cover with plastic and microwave until the pumpkin is very soft.
  4.   Let the veggies cool then mash them together.
  5.   Gently sauté the chicken until cooked through then mince very fine – you can also leave the chicken raw, but only if you use fresh, human-grade chicken.
  6.   Stir the canned salmon into the cooked white rice then add the pumpkin, spinach, and chicken.
  7.   Mix the ingredients thoroughly then add the iodized salt, psyllium husk powder, and fish oil. Mix well.
  8.   Add the contents of the taurine, B complex, BioMins capsules.
  9.   Crush the choline tablets and add them to the mix with the vitamin E oil, calcium carbonate powder, and potassium chloride powder.
  10.   Mix all of the ingredients very well then transfer to a tightly covered container and refrigerate or freeze.

Nutrition (per 1kg): 27.8% calories from protein, 54.8% calories from fat, 17.4% calories from carbohydrate, 0.71g phosphorus per 1000kcal, and 70% moisture content. The omega-6 to omega-3 ratio is 2.9.

Feeding Tips: This recipe makes about 1kg (2.2) pounds of food, so you may need to freeze some of it to keep it fresh. Fresh food should only be refrigerated for about 3 to 5 days. If you plan to freeze it, try portioning it out and rolling the food into a ball before wrapping in plastic. If the food doesn’t stick together, try individual lidded containers.

Can You Substitute Any Of The Supplements In This Recipe?

Dr. Wall hails from Australia and thus has chosen to use supplements readily available in that country. While you can find Thorne, NOW Foods, and Country Life supplements online directly from the brand, a significant number of them are available on Amazon as well.

Wall notes that while the initial investment in the recommended supplements may be high, they’ll last you through many batches. Dr. Wall cautions her readers against using any supplements other than the ones listed, but you might be able to find similar options if you can’t find the right product in stock.

None of the alternative supplements I found were a perfect match for the supplements Dr. Wall suggests, but here are a few options that come close.

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Want a quick look at the products reviewed in this article? In the comparison table below, we’ve highlighted some of the most important features of each product. You’ll find more detailed information about each product later in the article.

Picked by 31 people today!

Omega-3 Pet Liquid

  • Contain a similar omega-3 to omega-6 ratio
  • Each softgel contains the same 1000mg of fish oil
Picked by 31 people today!

Psyllium Husk Powder

  • Easy to find a substitute
  • Contains nothing more than psyllium husk powder
Picked by 25 people today!

Taurine (1000g) Capsules

  • This product has twice the taurine (1,000 mg)
  • Impulses and aids in the maintenance of fluid balance
Picked by 21 people today!

Calcium Carbonate Powder

  • Excellent form for the support of healthy bones and teeth
  • Containing one of the highest concentrations of elemental calcium
Picked by 18 people today!

Potassium Chloride Powder

  • Pharmaceutical grade
  • There are plenty of alternatives
Picked by 31 people today!

Natural E-Oil

  • Contains only vitamin E oil
  • There are plenty of alternatives
Picked by 31 people today!

Basic B Complex Capsules

  • Other formulas contain a similar nutrient profile
  • Promotes an optimally functioning nervous system and healthy nerve cells
Picked by 25 people today!

BioMins With Copper And Iron

  • Contains well-researched forms of minerals
  • Highly absorbable dimagnesium malate and dicalcium malate
Picked by 21 people today!

Country Life

  • Choline supports nerve health and helps with the metabolism
  • Certified gluten-free, vegan, kosher and halal made with recyclable packaging
Picked by 18 people today!

VetriScience Laboratories Renal Essentials

  • Designed to support kidney health
  • They contain a variety of plant extracts along with EPA, DHA, potassium, and several B vitamins
  • The phosphorus content is 8mg per 2 tablets

Nordic Naturals:

#1 Omega-3 Pet Liquid

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Pure Micronutrients Omega-3 Fish Oil supplements contain a similar omega-3 to omega-6 ratio and each softgel contains the same 1000mg of fish oil. This could be an appropriate substitute but, again, make sure to ask your veterinarian.

NOW Foods:

#2 Psyllium Husk Powder

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#3 Taurine (1000g) Capsules

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#4 Calcium Carbonate Powder

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  • This powdered supplement is available on Amazon. But a very similar product is Nutricost Calcium Carbonate Powder. Each teaspoon of the NOW Foods formula contains 3400mg calcium carbonate while the Nutricost formula contains 650mg per scoop. You’ll need four servings of the NOW formula or about 3.5 servings of the Nutricost formula.

#5 Potassium Chloride Powder

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  • This is another product available on Amazon. A similar option might be Bulk Supplements Potassium Chloride Powder or Nutricost Potassium Chloride Powder. The first of these would require 7 servings of 200mg each. The Nutricost formula is identical to the NOW formula in serving size and potassium chloride content but the tub contains more than 4 times the amount at roughly only half the cost.

#6 Natural E-Oil

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  • This product is available on Amazon but because it contains only vitamin E oil there are plenty of alternatives. When shopping, however, you should be careful to choose a pure, undiluted vitamin E oil like Cocojojo 100% Pure & Undiluted Full-Spectrum Vitamin E Oil. The dosing may be tricky, however.
  • The NOW Formula requires just 2 drops, or about 63 IU (31.6 IU per drop). The Cocojojo formula comes in an 8-ounce versus 1-ounce bottle and, at 75,000 IU per bottle, averages about 13 IU vitamin E per drop. You’d need about 5 drops of the Cocojojo formula.

Thorne Research:

#7 Basic B Complex Capsules

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  • This formula is available on Amazon, so it’s best to stick with Dr. Wall’s recommendation here. Other formulas contain a similar nutrient profile, but the amounts are very different.
  • NATURELO B Complex capsules contain only 5mg thiamin per capsule while the Thorne Research formula contains 100mg thiamin per capsule. You can’t just use more of the NATURELO capsules in the homemade cat food recipe, however, because some of the amounts are the same or nearly the same (such as riboflavin and vitamin B6). Increasing the dose could result in an excess of certain vitamins.

#8 BioMins With Copper And Iron

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  • This formula is available on Amazon, so it’s best to stick with Dr. Wall’s recommendation here. There are similar options but, again, with different formulations.
  • NOW Supplements Full Spectrum Mineral Caps contain all of the same minerals and Vitamin D3 but, again, the amounts are much different per serving. Healthy Origins Chelated Multi Mineral capsules also contain a similar nutrient profile, but the serving size is 2 capsules versus Thorne’s 4. Even if you were to double the dose of the Healthy Origins supplement, the amount per serving wouldn’t line up close enough. Even the Rx Vitamins Mineral Powder which is specifically formulated for cats doesn’t hit the mark.

#9 Country Life

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  • These Country Life choline tabs are available on Amazon but because they contain only choline bitartrate there are other options available as well. You’d need 3 capsules of the Country Life formula or about 3.2 capsules of Nested Naturals Choline Bitartrate. You’d need about 2.3 capsules of Solgar Choline 350mg tablets, so it’s really just easier to use 3 Country Life tabs.

#10 VetriScience Laboratories Renal Essentials

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If you’re concerned about buying so many individual supplements, it might be possible to use a supplement formulated for renal support, though this option isn’t perfect.

VetriScience Laboratories Renal Essentials tablets, for example, are designed to support kidney health. They contain a variety of plant extracts along with EPA, DHA, potassium, and several B vitamins. The phosphorus content is 8mg per 2 tablets.

CAUTION: Before swapping out the recommended supplements for a renal support supplement like the formula from VetriScience, be sure to consult your veterinarian or a veterinary nutritionist to ensure that it is an appropriate switch and won’t throw the nutritional content of the recipe out of whack.

Are Premixes A Good Option?

If you’ve considered raw or homemade cat food before, you’ve probably come across the idea of premixes in your research.

A premix is a product that contains all the additional nutrients your cat needs on top of protein and fat. They typically come in the form of powder that you mix in with your choice of meat to create a homemade cat food diet. You’ll be adding water as well, so the recipe will be highly digestible and rich in moisture.

Premixes are a great way to simplify the process of making homemade cat food, but keep in mind that they’re formulated for healthy cats.

If your cat has kidney disease, talk to your vet before using one of these products. You may need to evaluate the nutritional breakdown of the premix to make sure it doesn’t contain too much phosphorus or sodium. It’s also worth noting that adjusting the amount of meat to achieve a restricted protein recipe might throw the nutritional balance off.

With your vet’s approval, one of the following premixes could be a good option:

#1 Young Again Carnivore Raw With Calcium

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This premix is fully fortified with vitamins, minerals, and essential amino acids. It also contains a proprietary blend of prebiotics, probiotics, and enzymes to support digestive health.

A single 20.32-ounce jar of this premix makes up to 37 pounds of raw food. The smaller 1.25-ounce packets each make 2 pounds of raw food.

Young Again suggests using multiple meat sources and recommends at least 1/3 of the meat come from pork to supply the selenium your cat needs. If you’re including ground bone in your cat’s raw diet, choose the original Young Again Carnivore Raw (without calcium) formula.

For every 2 pounds of meat, Young Again recommends adding ¾ to 1 cup of water and 2 salmon oil capsules. This is the appropriate amount to use with a 1.25-ounce packet of the premix, but you’ll need to scale it up to use larger servings from the tub.

#2 My Natural Cat Raw Meat Premix

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This premix is intended for use with raw cat food recipes. It contains the nutrients necessary to meet AAFCO nutritional guidelines for cats of all life stages. The premix is sold in a trial size or a large size.

To use this premix, My Natural Cat recommends combining ½ cup of the premix with 1 ½ cups of water in a large bowl. They recommend adding 2,000mg of salmon oil then whisking the mixture well to combine. You then add 2 pounds of raw meat along with ½ pound of raw liver or three tablespoons of chicken liver powder and mix well.

Once you’ve made the food, you can portion is as desired and freeze the portions you won’t be able to use within 3 to 5 days.

#3 TCfeline RAW Cat Food Premix

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Total Cat offers several different recipes of raw food premix including a venison and a beef recipe. The primary difference is that the beef recipe contains liver and the venison formula does not.

Both of these premix recipes contain about 2.5:1 calcium to phosphorus and only 160mg of sodium per ¼ cup serving (4.5 ounces fresh food when prepared).

Total Cat recommends mixing ¼ cup of premix with 1 cup of cold water and whisking thoroughly before whisking in 2 raw egg yolks (these are optional). Simply add 2 pounds of raw meat without bone and combine before dividing into portions.

Final Thoughts

Cats suffering from kidney disease require special care. It’s important to keep regular appointments with your vet to check your cat’s bloodwork and to monitor the progression of the disease. If your cat is taking medication, regular bloodwork will help you keep track of how well it’s working.

The most important thing you can do for a cat with kidney disease, however, is find a diet that meets your cat’s nutritional needs without putting too much stress on his kidneys.

The ideal diet for a cat with kidney disease is one made with restricted high-quality, digestible animal protein along with limited phosphorus and sodium content. Homemade cat food gives you complete control over cat’s diet, though it’s important to follow a vet-formulated recipe. If you aren’t confident in making your own cat food, a therapeutic or prescription diet might be a good alternative.

Before you try homemade cat food for yourself, do your research to make sure you understand what you’re getting yourself (and your cat) into.

Check out our in-depth guide to making homemade cat food here.

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About Kate Barrington

Kate Barrington holds a Bachelor’s degree in English and is the published author of several self-help books and nutrition guides. Also an avid dog lover and adoring owner of three cats, Kate’s love for animals has led her to a successful career as a freelance writer specializing in pet care and nutrition. Kate is also a blogger for a number of organic and natural food companies as well as a columnist for several pet magazines.

19 thoughts on “The Best Homemade Cat Food Recipes For Kidney Disease

  1. Nate

    Thank you for sharing this recipe. I have now made it twice for my cat with stage 2 renal disease and am hopeful it will be a great alternative to the big brand prescription foods – according to your research, it sounds like it will!
    I did have a question on feeding quantities – do you have any information on the caloric content per serving and/or any suggested serving amounts? It would be very helpful if you do.
    Thank you so much

    1. Avatar photoKate Barrington Post author

      Hi Nate, I’m so glad the recipe is working out for you and your cat! I ran the main ingredients through a recipe nutrition calculator and it looks like the food is about 71 calories per ounce. The average cat needs between 4 and 6 ounces of raw or wet food per day, depending on the recipe. I can’t say for sure that the calorie content I came up with is accurate, however, so I’d recommend starting with two 2-ounce portions a day and track your cat’s weight and appetite closely. Cats with kidney disease need to consume enough calories per day to prevent the loss of muscle mass, so if your cat starts to lose weight you’ll need to increase the portion. Hope that helps!

  2. Janet Staddon

    Can I substitute the spinach and pumpkin with canned or frozen organic brands? I live quite rural, so this would help. Thanks!

    1. Avatar photoKate Barrington Post author

      Hi Janet! It shouldn’t be a problem considering the veggies in this recipe end up being cooked anyway. Just be sure to squeeze out any excess moisture and stick to the same weight as the original recipe.

  3. Thomas

    Hi – I wanted to see if recipe provided is ok for cats without kidney issues. We have two cats and they tend to swipe food from each other.

    Thanks and great article!

    1. Avatar photoKate Barrington Post author

      Hi Thomas! There’s no reason this recipe would be dangerous for a cat without kidney issues – all cats have the potential to benefit from a fresh food diet. The recipe is, however, designed to be limited in protein content. If you’re using this as an exclusive diet for both cats, you may want to talk to your vet about supplementing the protein intake of your cat without kidney problems. If they’re just sharing a little food here and there it shouldn’t be a problem.

  4. Andy

    What purpose does the spinach serve and what can be used to substitute for it? – Spinach is really high in oxalates which leads to kidney stones, so I am keen to avoid it…

    1. small mallory photoMallory Crusta

      Hi Andy, unfortunately, I’m not sure why the recipe’s original author included spinach in the recipe, but she does suggest using kale instead, which is a leafy green that’s low in oxalates, so perhaps you can do a 1:1 substitution of kale instead.

  5. Justin

    Any tips on how to better mask the taste of the supplements? I whipped up a batch with just the fresh ingredients to make sure my cat would be interested in the food before investing in all the supplements, and he loved it, downing the sample I gave him with more vigor than he’s shown to any food since his diagnosis. However, after working in the supplements he now treats it like it’s full of poison. None of the other cats in the house seem all that interested in it either, unfortunately.

    1. Avatar photoKate Barrington Post author

      Good question, Justin! Cats rely heavily on their sense of smell when it comes to food and can be turned off pretty quickly if something doesn’t smell appetizing. I can’t say for sure that’s what’s going on here, but if your cat loved the food originally and now avoids it completely, it might be because it smells different.
      You may not be able to mask the smell of the supplements entirely, but you could try adding something that has a lot of smell/flavor that won’t significantly change the nutritional composition of the food itself. A powdered cat food topper like Stella & Chewy’s Magical Dinner Dust could be mixed into each serving pretty easily, or even a bone broth powder. If mixing something into the food doesn’t work, maybe sprinkling bonito flakes on top would mask the smell and make the food appetizing enough for your cat to at least try it. Good luck!

      1. Justin

        Thank you for the suggestions, I will definitely look into it! A thought I had, if he can’t get past the smell, is there any reason I could not simply exclude the supplements from the food itself and just portion them out into a daily or twice daily supplement given separately?

        1. Avatar photoKate Barrington Post author

          I don’t have any veterinary training, so I’m not sure if there would be any negatives to trying that. If you’re going to separate out the supplements, though, you might want to leave in the oils. The powders might be easier to blend and divide into portions. I’d recommend weighing out the mixture and dividing it into as many portions as you do the food itself so everything remains in balance.

  6. Anthony

    i use premixes (FOOD FUR LIFE) for making my own food for my cats, problem is i have a cat with CKD, what would be a good mixture to add to the meat so the calories stay up but protien restricted a little ??

    1. small mallory photoMallory Crusta

      Hi Anthony, Food Fur Life is advertised as being an appropriate choice for cats with CKD, and the premix itself is not a significant contributor to the food’s protein content. I would recommend contacting FFL support; I’ve talked with Laurie on the phone before, and they’re extremely responsive and helpful. They may be able to give you personalized suggestions on the best meats to use with the premix to address your cat’s unique issues. Wishing you and your cat all the best!

      1. Anna

        Hello, thank you very much. My cat is in stage 3 kidney disease and was wondering if I can use carrots instead of spinach and also do I have to add any extra vitamins with this recipe? thank you!

  7. Rebecca

    Hi. What to do if my cat is allergic to everything except poultry, including fish oils, but has CKD? My vet is not being responsive. I am starting to get concerned. I can’t include the salmon in this diet, and all prescription options contain fish oil. What should I do or who can I talk to?

    1. Avatar photoKate Barrington Post author

      Sorry to hear about your struggle, Rebecca! Did your vet confirm that fish oils are a problem specifically? Typically, allergies are triggered by proteins so, as long as the fish oil is derived only from fat with no proteins in it, it shouldn’t trigger a fish allergy. That’s not to say it’s impossible, of course.
      If your vet isn’t being responsive or can’t give you clarification on this point, it might be worth finding a veterinary nutritionist to answer some of your questions. Veterinary training generally includes some basic animal nutrition but for specific issues like this it may be better to seek the expertise of a board-certified veterinary nutritionist. Let us know what you find out!


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