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Payers use the principal diagnosis to drive medical necessity review

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Sterile Equipment: Always use new, sterile needles, syringes, and other equipment for each withdrawal

They should be viewed as a supportive tool in a broader weight management strategy

Doctors must be careful with their math to keep patients safe

Its certainly possible this therapy could be beneficial in the prevention and treatment of feline CKD, but the food appears to a line of kibble formulas, with the usual low-quality feed-grade ingredients, presumably produced like all kibble using high heat processing and extrusion