ROYAL CANIN Renal Special loaf is a complete dietetic feed for dogs formulated to support renal function in the case of chronic renal insufficiency, through its restricted levels of phosphorus and high-quality proteins. Recommendations: It is recommended that a veterinarians opinion be sought before use or before extending the period of use. Renal diets are recommended in cases of proteinuria, and once creatinine levels elevate past reference ranges in cases of nonproteinuric CKD, before inappetance develops. In case of food aversion, the dog can be switched to another renal option without transition. Renal diets may be continued for the dogs lifetime. It is recommended that a full health check be performed every 6 months.