I don't like Hill's either, but if you are considering it...I would not use s/d at all. It contains pork liver which is Very high in purines and definitely not good for a liver compromised dog. I know you must be pulling your hair out right now with frustration, but it will get easier. The nutritionist will help big time. Egg and cottage cheese are good sources of protein for liver compromised dogs.
If you call Royal Canin and ask them questions about their prescription diets, you can ask that they put you on the phone with one of their vets. You can ask the vets about the Vit K...
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