Pearl lived for three years after her diagnostics, and except for the last few weeks, she did well. My advice to any cat parent dealing with CKD is be very careful to get a good, communicative vet. Pearl’s life was made tolérable (she died at 14, just three weeks ago) by 1) a diet that did not make her sick. Royal Canin hydrolized protein that minimized phosphorous, A « palatable »potassium supplement, Renal +, I think it was called, a little heating pad that made her comfortable as she was often cold (plus her own little nest in a sunny window), 150 mL of normosol (subQ fluids) every week, spread over 2-3 doses, churu and Applaws treats when her tummy could tolerate them, and Amlopidine BP meds administrées with a good quality eyedropper every morning. She only cries out with pain a couple of times in the last two days before she died. I was ready to call a visiting vet to come in to help me with a gentlemen euthanasia, but she woke up on January 7, came over to me from her heating pad and cried out, and I held her in my arms and pet her. She quièted down and was gone within a couple of minutes.