Hill's Prescription Diet k/d Wet Dog Food with ActivBiome+ Kidney Defense is specially formulated by nutritionists and veterinarians to help manage chronic kidney disease, or CKD. A proprietary blend of prebiotics activates the gut microbiome to help reduce uremic toxins and slow down the progression of the disease. In addition to high levels of essential amino acids and L-carnitine, increasing caloric intake can support your dog's natural ability to build muscle mass. Made to please even the pickiest of eaters, this canned food has tasty, bite-sized chunks in gravy and is made with wholesome ingredients like chicken and vegetables that dogs love.