…can. Along with Kidney Support Gold I recommend Milk Thistle, Omega-3 fatty acids and B vitamins. Often dogs need subcutaneous fluids. If the dog has immune mediated kidney disease then Bromelain may be helpful. There are some thoughts that over-vaccination of cats may play a role in development of kidney disease (Lappin, 2002) but we do not know if that is true of dogs. Acupuncture and chiropractic are often helpful to improve renal blood flow.