Hi Ava, here are her most recent blood results. They are in Spanish:
Hi, and thanks for sharing the lab results. First, a disclaimer: please take anything I say with a grain of salt, I'm not a vet or an expert, just had to educate myself as best as I could. I didn’t want to rely solely on what vets told me; I wanted to understand things for myself.
Based on the values you've shared, this doesn't look like kidney disease. Both PHOS and CRE are within normal ranges. (Of course, this doesn’t mean kidney disease couldn’t develop in the future, but there’s no indication of it right now.)
What is noticeable are the elevated BUN, TP, and AMY levels, which more likely point to
dehydration and possibly some liver strain. (As a side note: both CRE and BUN can be elevated simply due to a high-protein diet.)
Electrolytes are normal, which is great. However,
IV fluids would still be beneficial (both for dehydration and for elevated calcium levels). If that’s not an option, you could ask your vet about
subcutaneous fluids. These are given under the skin and can even be administered at home. It might feel uncomfortable for the cat at first—and possibly even more so for you—but I’ve given subQ fluids to my cat over 150 times. It really does become routine.
As for the haematology results, elevated neutrophils and low-end lymphocytes typically indicate that the body is fighting something (in this case cancer). The good news is that she's not anaemic, although her haematocrit might drop somewhat once fully rehydrated, it’s still high enough.
In summary, these lab results actually look fairly good overall.
I’d still recommend
strong immune support (alongside fenbendazole – I can’t comment on that specifically, as I simply don’t know enough about it).
Personally, I’ve used a variety of supplements to support my cats’ immune systems and detoxification, including:
B-complex vitamins (in highly bioavailable form)
Methylcobalamin (B12) additionally (even up to 500 mcg per day)
Medicinal mushrooms (Cordyceps, Lion’s Mane, Turkey Tail – Real Mushrooms or Oriveda)
Lactoferrin
CoQ10 30 mg (or ubiquinone 10 mg)
Omega-3 capsules (high quality and specifically for cats)
Zeolite (it actually helped to normalize liver values)
Probiotics
Slippery elm bark
Chanca Piedra (helps alkalize the system, supports liver function and may even normalize calcium levels - but may be counterproductive, depending on the cat's pH balance)
…and a few others specifically for CKD.
And one crucial final point, which you probably already know:
never let your cat go without eating for more than a day. If that happens, it’s less important what she eats—whether it’s junk food, recovery food, or anything else—as long as she eats something. Force-feed if necessary, or you can dilute mousses with water and administer them via a syringe. Mirtazapine may be necessary to stimulate appetite.
Just make sure that nausea is not the cause - there are some obvious signs for this, it’s not just vomiting, but also lip smacking, sniffing food with interest but then turning away, or excessive drooling. Slippery elm bark can sometimes help to soothe the stomach, but Cerenia (or similar prescription medication) is often more effective for managing nausea.
And always monitor your cat’s bathroom habits, peeing more often, or more excessive, diarrhea and constipation - as these are signs of concern and should be addresed promptly.
Hope this helps.
