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Q: Could anyone tell me if you can just give these alone or should you be giving other supplements along with these?

I also give my guy Vetri Science daily supplements (senior because he's 15). I also give him Azodyl which is really expensive. And has to be shipped with dry ice. Finally -- Amber Technology Kidney Rejuvenater for 10 days then Amber Technology Life Cell Support For about a month before I switch back to rejuvinator.My guy was diagnosed with renal failure 26 months ago. I immediately started preparing his food based on a recipe from my vet and followed the regime above.His kidneys are back in normal range and the vet is wanting to know my regimen because they've never seen a dog recover like this. I can't say exactly what is the magical supplement, but this combination is working great for us.

Q: Manufacturers in USA?

Our Renal Essential Pro Chews are made right here in Williston, Vermont USA - however they are not legally allowed to be sold on line.

Q: Why did the cost increase from$29 to $44? Has the formula changed in such a way that it has improved?

sorry, i dont know- perhaps the maker wants more money

Q: Is this the same product that their website says "available exclusively through veterinarians"? I compared the ingredients and they are the same.

I don’t know, but my veterinarian recommended them for my dog and all of my dog’s kidney bloodwork numbers have remained stable for the last two years that he’s been taking these. My dog is now 16 1/2 years old!