New to CKD
So i think my cat (F 18) has early CKD but we are having several issues so far with our vet. First, she hasn’t even been diagnosed - it has been suspected by me for awhile due to increased thirst but she recently had i 131 treatment for hyperthyroid and just had 30 day follow up bloodwork. We got the treatment so that the labs would be accurate and not mask issues. Our vet sent the labs and just recommended kidney diet Hill’s, didn’t even mention which stage she would be at with her levels. Overall my husband and i are very dissatisfied with our vet’s lack of info as this is the first time we are dealing with CKD and have a lot of questions. I would prefer not to have to rely on Google when we are supposedly paying for medical advice.
SDMA is 19, Creatinine 2.9, BUN 33. I think she is stage 2/3 but some things are suspicious even with CKD - her eosinophils which are low (.28) and neutrophils trending higher as well. Possible infection has been mentioned before but there is no way to know what is infected. It also looks like she may be on the brink of anemia.
If anyone has advice on how to deal with an inadequate vet in this situation that would be great. She is scheduled for her last hyperthyroid follow up labs in 60 days so I thought now would be a good time to make a few changes and see if her labs improve. Things like switching to a lower phosphorus high protein wet food, adding Porus One, adding B12 supplement. She had been getting 100ml subq fluids 2x/wk before these labs so I think continuing that will help too. But she actually is higher energy when she is more dehydrated - I think vitamins may be leaching with the high hydration. We do give her Digestall pre/probiotic and Miralax already.
Any info would be super appreciated!