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Hello. Thanks for the question.
This is a tough call. There are renal diets out there, but the problem is that they are pretty protein deficient. Many internal medicine specialists are not recommending against feeding these renal diets as the patients become so thin and wasted.
I would actually continue to feed the cancer diet that is higher in protein. I would then supplement with Azodyl. This is a supplement that helps prevent ammonia absorption from the gut. I would also supplement with Maalox or Mylanta (Aluminum Hydroxide). This helps to limit the absorption of Phosphorous from the gut. When doing this, you're going to help protect the kidneys while also giving the calories needed to keep weight on in the face of Lymphoma.
I hope this helps, let me know if you have any other questions.
Ideally, I would be using chemotherapy. Chemo has a high remission rate and a survival time of ~ 12 months. Pred alone has a survival time of ~ 2 months for lymphoma.
Amoxicillin is only needed if there is an infection present. Antacids are a good idea. Life gold and pet tinic are decent supplements, so I wouldn't change those.
That is correct.
I would highly recommend a consult with an oncologist and chemo. Nearly every Lymphoma case I refer for chemo will come back and thank me for doing that. You're talking about a 12 month vs 2 month survival time. They also have a good quality of life while going through chemo. Chemo in dogs is not like chemo in people. In people, we use high doses as we try to cure cancer. In dogs, we use lower doses as our goal is not a cure. Our goal is a good quality of life with the cancer in remission.
Here's a nice write up on Lymphoma in dogs:
And here's one on nutritional therapy for Lymphoma:
Ok, I would follow the oncologist's advice regarding chemo.
We're moving away from the protein restrictive kidney diets, so at this time I would say to stay on the diet that he is doing well on. With cancer and kidney disease, we don't want to restrict the protein intake.
Ok. T-cell is a little less responsive to chemo than b-cell.