Our siamese, Poe, was diagnosed two years ago with chronic renal failure at age 7. She was in intensive care for a week at that time and the prognosis upon her release was grim. I continued the oral meds given while she was a patient which included two daily doses (1/2 capsule each)of Azodyl mixed in with baby food and Epakitin (another med which works synergistically with Azodyl)and daily injections of fluids (lactated ringers solution). After about two weeks she perked up and her kidney labs reflected dramatic improvement! She is holding steady still today...still on the same daily treatment. I attribute her good health despite her serious condition to her meds, Azodyl, Epakitin & fluids....and lots of love goes a long way, too!