? Garfield bloodwork 6/4 ckd stage 2

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Cassandra & Garfield

Member Since 2019
Hello ! Can someone tell me about my bloodwork? Garfield has been stage 2 ckd since december.


Thank you :)!

@Marje and Gracie
 

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Cassandra & Garfield said:
Just added them! Tell me if some important ones are missing :)
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Thank you. Yes, there’s a lot missing but the ones you want to be focused on for CKD are creatinine, BUN, phosphorus, calcium, potassium, and HCT. It looks like he’s pretty stable right now. As the HCT starts to creep towards 30%, you want to think about starting B vitamins.

His phosphorus is nice and low so you want to keep it pretty close to there!
 
Marje and Gracie said:
Thank you. Yes, there’s a lot missing but the ones you want to be focused on for CKD are creatinine, BUN, phosphorus, calcium, potassium, and HCT. It looks like he’s pretty stable right now. As the HCT starts to creep towards 30%, you want to think about starting B vitamins.

His phosphorus is nice and low so you want to keep it pretty close to there!
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Actually just ordered B right jarrow :)

Also he is on a blood thinner now praying it doesn't mess with his appetite. So if it does the b12 should help I guess.

Is his phosphorus too low? I give a bit of phosohorus binder to add to his food, that is pretty low phosphorus. But I mix with friskies so I don't go broke from always buying weruva. Haha.

Thank you very much!! :)
 
Cassandra & Garfield said:
Actually just ordered B right jarrow :)

Also he is on a blood thinner now praying it doesn't mess with his appetite. So if it does the b12 should help I guess.

Is his phosphorus too low? I give a bit of phosohorus binder to add to his food, that is pretty low phosphorus. But I mix with friskies so I don't go broke from always buying weruva. Haha.

Thank you very much!! :)
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which binder are you using?
 
Cassandra & Garfield said:
Actually just ordered B right jarrow :)

Also he is on a blood thinner now praying it doesn't mess with his appetite. So if it does the b12 should help I guess.

Is his phosphorus too low? I give a bit of phosohorus binder to add to his food, that is pretty low phosphorus. But I mix with friskies so I don't go broke from always buying weruva. Haha.

Thank you very much!! :)
Click to expand...
Normally binders aren’t given unless the P level is approaching or over 6 unless they were over 6 and then came down. I do think his P is a bit low. You should discuss with your vet.

Why is he getting a blood thinner? I would discuss the B vitamins with my vet then because I do not know if there is any contraindications between blood thinners and B vitamins.
 
Marje and Gracie said:
Normally binders aren’t given unless the P level is approaching or over 6 unless they were over 6 and then came down. I do think his P is a bit low. You should discuss with your vet.

Why is he getting a blood thinner? I would discuss the B vitamins with my vet then because I do not know if there is any contraindications between blood thinners and B vitamins.
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I mentionned we would be buying b12 methycolbalamin with the blood thinner he didn't say not to use both but I can ask again to be sure. Before I only fed friskies which is high in phosphorus that's why I got the binder initially. Also I was told we want phosphorus to be on the lower side. But I don't know much about bloodwork. He is getting a bloodthinner because he had a possible saddle thrombosis or something ressembling it. Also his platelets are stuck together the vet said so he definitely recommend the blood thinner.
 
Cassandra & Garfield said:
I mentionned we would be buying b12 methycolbalamin with the blood thinner he didn't say not to use both but I can ask again to be sure. Before I only fed friskies which is high in phosphorus that's why I got the binder initially. Also I was told we want phosphorus to be on the lower side. But I don't know much about bloodwork. He is getting a bloodthinner because he had a possible saddle thrombosis or something ressembling it. Also his platelets are stuck together the vet said so he definitely recommend the blood thinner.
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Of course, your vet would have an idea about whether the platelet clumping was abnormal or not but it’s not uncommon to see platelet clumping in cats due to the way the blood is drawn. However, a good lab would be able to tell whether the clumping is due to blood drawing or otherwise.

Usually binders aren’t started too early because CKD can stay stable a very long time and you don’t want to risk that a calcium binder could raise his calcium levels or aluminum hydroxide can cause aluminum toxicity . His P level does fall within the “goal” for phosphorus for CKD cats. I would discuss with my vet, now that you are feeding lower P foods, whether to see what it does without the binder or continue the binder. I’m not a vet so best to consult him.
 
Marje and Gracie said:
Of course, your vet would have an idea about whether the platelet clumping was abnormal or not but it’s not uncommon to see platelet clumping in cats due to the way the blood is drawn. However, a good lab would be able to tell whether the clumping is due to blood drawing or otherwise.

Usually binders aren’t started too early because CKD can stay stable a very long time and you don’t want to risk that a calcium binder could raise his calcium levels or aluminum hydroxide can cause aluminum toxicity . His P level does fall within the “goal” for phosphorus for CKD cats. I would discuss with my vet, now that you are feeding lower P foods, whether to see what it does without the binder or continue the binder. I’m not a vet so best to consult him.
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Thank you very much!

Then ill take a break for the aventi kidney complete then.

And I hope he knows the difference between the platelets being close due to being drawn or for another reason :(. We are having a blood pressure test soon as well as a chest x ray so I guess that would confirm any heart issues.

Someone saw his leg shaking video and said her cat did the same and went on to having a full saddle thrombosis a few weeks later and died. So I wanted to use the blood thinner as a preventative measure as well in case. I read saddle thrombosis can also happen to cats without heart issues so rather be safe than sorry :(

He is having his 4 remaining teeth pulled next month, do you think im making the right decision? I was told now is the time since his kidneys are still "stable". I can't believe they didnt just pull all of his teeth last year when we had most of them extracted. Im extremely upset to have to put my cat through this again!! The anesthesia is gas and no ketamine will be used. He will of course be getting iv fluids the whole time. I know bad teeth can be deadly so I want to be sure im making the right decision


Thank you so much for your advice! And ill ask all these questions to my vet
 
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