Maestro was recently dx with Chronic Kidney Disease (CKD) almost exactly 1 year from his acromegaly/DM dx. Have been exclusively feeding him low carb FF Classic Pate variety of flavors, but vet switched him to Rx Hills k/d because of high phosphorus content in FF. First few days he gobbled down the new food but is now refusing to eat it. Has been vomiting once per day on average. Still drinking, grooming, jumping up on favorite chair but has lost 4 pounds in six months (17# to 13#). These are his recent labs.... SDMA: 20 CREA: 2.2mg/dL BUN: 50mg/dL BUN/CREA: 23 PHOS: 7.5 mg/dL TT4: 1.2 UPRO: 147mg/dL UCREA: 56mg/dL UPC: 2.63 (>=2.0–significant proteinuria) If you have experience with this combo of medical issues I would love to get your input on good commercial or Rx food options. Feeding a raw/homemade diet is probably not a realistic option for us. Also, what to give to help with nausea and tremors. I suspect these are related to elevated levels of potassium and phosphorus in his system... I currently give him 3mg Methylcobalamin daily in the morning. Thanks in advance.