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HILL's Prescription Diet Canine k/d® For the Nutritional Management of Dogs with Kidney Disease. A prescription isrequired for these products. Click here for details There are many causes for kidney disease (also called renal disease) resulting in a variety of uncomfortable and life threatening symptoms for your dog. Kidney disease can be either sudden (acute) or occur gradually (chronic). Prescription Diet® Canine k/d® is specially formulated by veterinarians to help manage dogs with kidney disease. Kidney disease may develop because of other diseases or changes in health, breed/hereditary tendencies and even nutritional factors. Signs of kidney disease don’t usually appear until more than two-thirds of kidney function are lost. Prescription Diet® Canine k/d® is clinically proven to extend and improve quality of life in dogs with kidney disease. The nutritional formulation of Prescription Diet® k/d® may also be useful for pets with a variety of conditions. All food is shipped ground delivery. Please allow 7 to 12 days for your delivery to arrive. Please note, we do not ship pet food internationally. For more shipping info click here.