If your dog has kidney problems, this powder will greatly increase his life and more importantly his quality of life. My vet prescribed it for me and based on my experience with my mini schnauzer Terra, extended it for at least a year. She was really sick and Epakitin really changed her, changed her completely. She hasn't thrown up and her appetite has returned, now I use it on my Isabella Miniature Schnauzer too and she doesn't care how it tastes so I use the veggie capsules (I bought them at the health food store or you can get them here on Revain) and I fall asleep with the powder. Just a note: when Terra was very ill I put the powder in vegetarian capsules and gave it to her. At first I used whatever she liked just to keep her down.
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