Introducing Hill’s NEW combination diet for a common canine co-morbidity

About NEW Hill’s™ Prescription Diet™ Metabolic Plus Urinary Canine

• Contains the full strength technology of Metabolic AND c/d™ Multicare Canine
• Nutrition clinically proven to reduce body weight by 13% in 60 days
• 88% of pets fed this nutrition lost weight at home in 2 months
• Helps dissolve struvite uroliths[*]
• Reduce the risk of struvite and calcium oxalate uroliths
• Offers triple barrier bladder protection, which works in 3 ways as per graphic below

How do you manage your struvite urolith cases? Jump to cut? Or try diet first?

If you jump in to remove suspected struvite uroliths surgically, perhaps you should take a look at The American College of Veterinary Internal Medicine (ACVIM)  consensus statement on urolith management.  This is an excellent resource that outlines several recommendations and standards of care for dogs and cats with lower urinary tract uroliths.  One key ACVIM recommendation is that uroliths consistent with a composition of struvite should be medically dissolved with the following rationale…

“Medical dissolution for both sterile and infection-induced struvite uroliths is highly effective and avoids the risks and complications of anaesthesia and surgery. In many cases, dissolution is less expensive than surgery. Sterile struvite urocystoliths usually dissolve in less than 2–5 weeks. Avoiding cystotomy and closure of the bladder with sutures will eliminate the risk of suture-induced urolith recurrence, which may be responsible for up to 9% of urolith recurrences. Although some believe that medical dissolution places the patient at high risk for urethral obstruction, this complication has not been reported in the veterinary literature and is likely to occur with the same frequency or less frequently than when attempts at surgical removal are incomplete.”^{9. p.1565-6}

There are also many other pertinent recommendations such as not substituting high‐sodium dry foods for high‐moisture foods and considering the use of potassium citrate or other alkalinizing citrate salts for dogs and cats with persistently acidic urine. You can access the full consensus statement here.

Metabolic is formulated with a blend of natural ingredients specifically selected based on their ability to change the UNHEALTHY metabolism of overweight pets to be more like the HEALTHY metabolism of lean pets. This blend includes coconut oil, phytonutrients and antioxidants from fruits and vegetables, controlled amounts of high quality protein along with a healthy mix of soluble and insoluble fibre that help activate a pet’s metabolism and puts them in “fat-burning” mode, activating the body’s natural ability to burn excess body fat and affect calorie utilisation.

So remember, for your next overweight canine patient with a concurrent lower urinary tract issue…

Reach for Metabolic Plus Urinary Canine! The clinically proven solution to help your patients achieve and maintain a healthy weight whilst simultaneously helping dissolve struvite uroliths and reducing the risk of both struvite and calcium oxalate uroliths, whilst providing triple barrier protection for optimal bladder health.