The Tails of Truth Podcast:

Kidney Disease in Cats, Part 2: What to Feed, How to Treat & When to Let Go

In this follow-up episode of Tails of Truth, Dr. Angie Krause and JoJo continue their deep dive into kidney disease in cats, focusing on what comes next after a diagnosis. They explore the nuanced world of kidney diets, share when (and why) they recommend subcutaneous fluids, discuss phosphorus binders, and get real about quality of life and end-of-life decisions.

Dr. Angie shares her holistic perspective on diet timing, how to navigate treatment options that fit both your cat and your lifestyle, and why being gentle with yourself is part of the process. This is a grounded, compassionate guide for anyone walking the kidney disease journey with their cat.

Key Takeaways

  • Prescription kidney diets are often recommended too early—it's okay to question this.
  • Cats are obligate carnivores; prolonged protein restriction can cause muscle loss.
  • Start phosphorus and protein restriction around Stage 3, not earlier.
  • Calories and hydration are more important than strict diets in late stages.
  • Subcutaneous fluids can greatly improve how your cat feels—start gradually.
  • Phosphorus binders are useful when dietary changes aren’t enough or aren’t tolerated.
  • End-of-life planning is emotionally hard but offers space for peace and intention.
  • Quality of life is often about eating, grooming, and being mobile.
  • A CKD diagnosis is not the end—it often means years of life left with the right care.
More Episodes

Sound Bites

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  • “Do I really have to feed this food?”

  • “Feeding cats is like parenting. What control do you really have?”

  • “I’m not against anything that helps a cat feel better.”

  • “Hydration is king, but calories are too.”

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