Phase 3 Kidney Care Program

(corresponding to the late IRIS Stage 2 to Stage 3 – advanced imbalance phase)

At this stage, kidney function is reduced but still responds to supportive care.
Daily care should be more structured — with supplements, a renal diet, hydration, and regular monitoring.
These steps help maintain comfort and stability.

At a Glance

  • Kidney function: advanced decline, still responsive to care
  • Goal: maintain comfort and stability in daily life
  • Approach: nutritional support, hydration, and routine monitoring

Step 1. Supplements

Balanced nutritional support becomes essential at this stage.
A multi-supplement routine can help reinforce energy balance and natural detox processes.

  • Dr. Toru Protocol – AIM-based Support
    Supports the body’s waste-clearing system.
  • Intensive Protocol – Cellular Energy Support
    Helps maintain cellular energy and defense against oxidative stress.
  • Probiotics Protocol – Toxin Burden Support
    Supports toxin balance and gut flora stability.
  • Greycoat Calm – Cellular Stability Support
    Helps maintain cellular stability, supporting kidney, heart, and red blood cell wellness.
  • Omega-3 (EPA + DHA 100 mg) – Circulatory Support
    Helps maintain circulatory wellness and organ balance.

Step 2. Diet & Feeding

A renal-friendly diet helps reduce daily strain on the kidneys.
If appetite declines, begin gentle assisted feeding early.

✔ Feeding Tips

  • Offer renal prescription formulas with controlled phosphorus and protein.
  • Assist feeding using small bites or blended wet food.
  • Use appetite aids only under veterinary guidance.

Step 3. Hydration & Electrolyte Balance

Regular hydration is vital for maintaining comfort and stability.
Subcutaneous fluids are often provided under veterinary guidance.

✔ Hydration Tips

  • Target: about 40–50 ml/kg per day (oral + Sub-Q combined)
  • Common fluids: Hartmann’s Solution, Normal Saline (0.9%), Plasma-Lyte
  • Monitor tolerance carefully if cardiac or respiratory conditions exist.
  • Follow your veterinarian’s guidance

✔ Electrolyte Care

  • Maintain balanced phosphorus, potassium, calcium, bicarbonate, and sodium levels.
  • Discuss appropriate binders and fluid therapy with your veterinarian.

Step 4. Routine Checkpoints

Consistent observation helps guide appropriate care.

  • Every 2 weeks – 1 month
    Creatinine, BUN, Phosphorus, Electrolytes, Bicarbonate, HCT/RBC
  • Every 3 months
    Blood pressure, cardiac biomarkers (e.g., proBNP), chest assessment

Emergency Signs

Seek veterinary attention if your cat shows:

  • Complete loss of appetite or frequent vomiting
  • Severe lethargy or loss of balance
  • Labored or open-mouth breathing
  • No bowel movement for over 48 hours
  • Persistent straining to urinate or defecate

When to Seek a Second Opinion

Consider consulting another clinic if:

  • Subcutaneous fluids are not offered despite need
  • Electrolyte or acid-base management is not discussed
  • You are told “nothing more can be done” without further review

Summary – Phase 3 Care

✔ Continue support with Dr. Toru, Intensive, Probiotics, Greycoat Calm, and Omega-3
✔ Maintain renal-friendly diet and assist feeding when needed
✔ Ensure hydration and electrolyte balance under veterinary guidance

Reference

According to the IRIS Guidelines,
the late Stage 2 to Stage 3 period represents a stage of significant kidney decline,
where balanced care for nutrition, hydration, and electrolytes becomes increasingly important.

Note

This page is for educational purposes only
and is not intended to replace medical diagnosis or treatment.
If you’re concerned about your cat’s condition,
please consult your veterinarian or contact the Greycoat Care Team for further guidance.

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Before & After on the Greycoat Program

These are real cases where the Greycoat Program was applied—especially in Stage 2 and 3 cats, when guardians were searching for a better way forward.
Take a look and see what parts of their journey might help shape your own routine.

See More Greycoat Case Stories →
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