I moved your post here because it concerns your cat; if you post it in someone else’s thread, we call it a “thread hijack”
Best to always put information regarding your kitty in his thread. You can always tag members; for example, if you had wanted me to look at his labs, you’d post them in this thread and then type
@Marje and Gracie and ask me to look at them.
Has your vet mentioned that Nathan appears to be in Stage 3 of chronic kidney disease? Her phosphorus, calcium, hematocrit, and potassium look pretty good right now although she is trending towards anemia. As I suggested on the other thread, you might want to start reading on T
anya’s site for CKD cats and I would definitely focus on the page on anemia right now as you will need to start giving B vitamins soon. I would say she’s also close to needing subq fluids at home and you should discuss that with your vet again if the creatinine goes any higher. There is a section on “Hydration” on the above site as well. You are doing a good job of keeping her phosphorus low with whatever you are feeding. My healthy cat urinates three times a day so I don’t think that is an issue for her. With CKD cats, you want their main hydration to come from them drinking water and by adding water to their food as you are doing for as long as they can keep up. At some point, and it’s often around 3.5 on the creatinine, they can no longer process enough water to stay ahead of their peeing so you have to give subqs.
Once you read some of the important sections on Tanya’s like anemia (and B vitamins), phosphorus, hydration, and proteinuria (just so you are familiar with it), then tag me with any specific questions although I am not a vet. It looks to me like you are doing a good job. One of my CKD cats lived over four years with his numbers about where Nathan’s are and he was very stable; he did not pass from CKD.
Two months is a reasonable time to recheck.
