• Consider methionine or ammonium chloride to acidify persistently alkaline urine (pH≥6.5) to < 6.5.
Nutritional
• Lower phosphorus/magnesium foods that promote acidic (pH<6.5) urine (e.g. c/d multicare, others). If needed, feed canned therapeutic foods or add water to achieve a specific gravity ≤1.020 for dogs.
Monitoring
Medical imaging every 6 to 12 months to detect recurrence. Recurrence is an indication for further evaluation and alternative treatment strategies.
Disclaimer
We advise reviewing manufacturer's literature regarding selected therapeutic foods to determine indications and contraindications. For pets with multiple health concerns,we suggest that the selection of diet should take into consideration all health needs of the pet.