Bella was diagnosed with chronic renal failure a few months ago. The veterinarian recommended a prescription diet from one of the major commercial dog food companies, but after looking at their ingredients I couldn't understand how those foods would make her feel better. I did a lot of research and decided to try using the Honest Kitchen base mix and adding in protein for her. The diet in combination with her medication has greatly improved her levels. It's so important for dogs with kidney issues to eat moist food, and I thank Honest Kitchen so much for making this process of feeding her real, healthy food so easy.