Originally the dog had been fed a commercial dry dog food;after the diagnosis of CKD was made,a commercial veterinary therapeutic renal fooda with controlled levels of protein,phosphorus and sodium was recommended.The dog continued to vomit and refused to eat the food,however.The owner had switched to a moist commercial grocery brand dog food supplemented with commercial treats.The moist food was fed twice daily and treats were given multiple times throughout the day to encourage the dog to eat.The dog only ate small amounts of the moist food and some treats during the week before admission.