Hello all. I just took Dixie into a routine checkup and looks like she has a new diagnosis of CKD Grade 2, Hyperthyroidism, and arthritis. I know that a lot of your kitties have the same issues so I guess I was expecting it but this seems like it hit all at once. Funny how this happens right when I get her diabetes under control! I am glad that decided to do a checkup after 6 months because it caught all this. She will be starting a low dose of Felimazole for the hyperthyroidism very soon. The vet said that she may be a good candidate for the radioactive treatment down the line. She will get a thyroid blood checkup in a few weeks to see if the medicine is working For the CKD, the nutritionist is recommending that that her renal disease take priority over the diabetes since the diabetes can be managed with insulin. They are recommending: * Royal Canin Urinary Aging Care which is 41% protein, 45% fat, 14% carbs, and 1.3g/1000kcal phos. * Royal Canin Senior Consult which is 33% protein, 37% fat, 30% carbs and 1.4g/1000kcal phos. However, the vet said that since she is in the early stages, that I should not restrict her protein right now and that I should just try to lower the phosphorus. She tested at 1.87 for phosphorous (1.03 – 2.1 is the good range) and the vet wanted us to get into the lower half of that range. I am also wondering if I should avoid fish since it is higher in iodine? Right now Dixie gets Friskies pates which have been < 10% carbs. So I am obviously concerned about upping her carbs too much. For the arthritis, I need to look into putting her on either Gabapentin and/or supplements. I am a bit overwhelmed with all this new info… it looks like I will need to learn a lot more and research which food is best for her. Do any of you have any good resources (maybe forums) for this? Or any food recommendations or what I should look for in a food? I live in Canada. I just don’t know what I am looking for right now… I have attached her lab results to this post. I also have her current lab results and past lab results side by side in my spreadsheet "Labs" tab. The one nice thing about this is that on her lab report she had no glucose in her pee, her blood glucose was 5.8 mmol/L and the vet wrote that her diabetes was extremely well controlled. That is all thanks to you guys! I just need to figure out how to move forward now. Thanks for reading my ramblings... EDIT: For some reason the lab results I attached are very small and the forum says I don't have permission to upload pics the usual way so I just added the lab results pic to my "Labs" tab on my spreadsheet.