Developed by veterinarian Dr. Kim Freeman, this highly digestible and tasty diet is moderate in protein and low in phosphorus. If your dog has severe kidney issues, please consult your veterinarian, as our formula may still provide more protein than recommended and could require an added binder such as Rx Vitamins Phos-Bind. The primary proteins are beef, chicken breast, and egg whites, with the careful addition of a small amount of beef liver and no ground bone to help maintain controlled phosphorus levels. We’ve increased the percentage of vegetables with a blend that emphasizes a balanced nutrient profile—particularly B vitamins and arginine, which support kidney function. We use barley as our grain for its role in traditional Chinese medicine, where it is valued for helping reduce excess “dampness” and support the Yin aspect of the body, often depleted in kidney disease.