Do I need to be picky about which phosphate binder to use in this dog?https://www.vetsurgeon.org/f/clinical-questions/30872/do-i-need-to-be-picky-about-which-phosphate-binder-to-use-in-this-dog Patient is a 13 year old Cocker Spaniel with CKD diagnosed just over 1 year ago, stable in IRIS stage 2, non-hypertensive and non-proteinuric (though we&#39;ve not actually checked the latter two in a while, so probably should!) Her most recent bloodsen-USTelligent Community 10RE: Do I need to be picky about which phosphate binder to use in this dog?https://www.vetsurgeon.org/thread/243391?ContentTypeID=1Mon, 15 Jan 2024 06:44:44 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:8de7d0cb-2a31-4a60-af8c-a69ed29d6e9fRichard Carter<p>The lab tests we use for calcium are pretty good so you can believe the results (unless you running an edta sample ) but the physiological parameters for calcium are very strictly controlled so any increase has to be excessive parathyroid activity. Basically you couldn&rsquo;t overdose oral calcium&nbsp;</p><div style="clear:both;"></div>RE: Do I need to be picky about which phosphate binder to use in this dog?https://www.vetsurgeon.org/thread/243390?ContentTypeID=1Sun, 14 Jan 2024 22:55:35 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:887edc4c-988f-43a5-81f9-62de22e42813Evelyn Barbour-Hill<p>How much calcium from common chalk (calcium carbonate) passes from gut lumen to blood ? </p> <p>Genuine question.</p><div style="clear:both;"></div>RE: Do I need to be picky about which phosphate binder to use in this dog?https://www.vetsurgeon.org/thread/243374?ContentTypeID=1Sun, 14 Jan 2024 10:12:51 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:7ec43952-4f11-46d7-9dd1-a7bafa0bd79bRob Loxley<p>I have seen hypercalcemia in a couple of cases of feline CKD put on calcium based phosphate binders.</p><div style="clear:both;"></div>RE: Do I need to be picky about which phosphate binder to use in this dog?https://www.vetsurgeon.org/thread/243359?ContentTypeID=1Sat, 13 Jan 2024 10:33:32 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:7f02bf7e-ff6c-4379-a0b4-a39d29a63b8bRichard Carter<p>Or osteosarc&hellip;</p><div style="clear:both;"></div>RE: Do I need to be picky about which phosphate binder to use in this dog?https://www.vetsurgeon.org/thread/243357?ContentTypeID=1Sat, 13 Jan 2024 10:14:10 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:dc46e744-a558-4eb3-96cc-d221be2acb5bRichard Carter<p>So if both Ca and Phos raised have we got primary or secondary hyper parathyroid? The renal hyper parathyroid I&rsquo;ve seen generally doesn&rsquo;t affect the Ca levels. Other DDs lymphoma&hellip;</p> <p>Frusemide? Or preds / calcium binders to lower the Ca which will cause more serious pathology ?</p><div style="clear:both;"></div>