Hi Maria, If you go to wwww.balanceit.com, the veterinary nutritionist will design recipes for a homemade diet suitable for renal disease. The food will be of excellent quality because you will be making it yourself. The recipes are fairly easy, and BalanceIt sells a supplement that will make the whole meal nutritionally perfect for a dog with renal disease.

Having dealt with a dog with renal failure, I can tell you that the jury is not back about the impact of nutrition. So I would also consult a veterinary internist to learn the latest thought about approaches to renal failure. You might simply be able to send the lab results to the internist and get an opinion.