What is the best calcium supplement for dogs with kidney disease?
For dogs with kidney disease, calcium carbonate combined with chitosan (like in Epakitin) is often recommended as it helps bind excess phosphorus, a common problem in kidney disease, and provides calcium.

What is the best calcium supplement for dogs with kidney disease?Here's a more detailed explanation:
Why Calcium Supplements are Important:
Dogs with kidney disease can experience imbalances in calcium and phosphorus levels.
Role of Calcium Carbonate:
Calcium carbonate is a common calcium supplement that can also help bind excess phosphorus in the digestive system, preventing it from being absorbed into the bloodstream.
Role of Chitosan:
Chitosan is a natural fiber that also helps bind phosphorus, further aiding in managing kidney disease.
Naraquin:
Another option is Naraquin, a dietary phosphate binder and renal support supplement containing ferric citrate, calcium acetate, and chitosan, along with omega-3 fatty acids and beta glucans.
Other Calcium Sources:
While calcium carbonate with chitosan is a common choice, other calcium sources like seaweed calcium can be considered, but always consult with a veterinarian.
Important Considerations:
Consult your veterinarian: Always discuss calcium supplementation with your veterinarian, as they can assess your dog's specific needs and recommend the appropriate dosage and type of supplement.
Monitor calcium and phosphorus levels: Regular blood tests are crucial to monitor calcium and phosphorus levels and adjust the supplement as needed.
Dietary management: In addition to supplements, a kidney-friendly diet is essential for managing kidney disease, often involving restricted protein and phosphorus intake.
Avoid bone meal: While bone meal is a natural source of calcium, it may contain undesirable components and is not recommended.
Avoid coral calcium: Calcium derived from coral is not recommended due to environmental concerns.