[107barney]

I've used that diet...it was an early diet given to me for my dog w/ liver problems. I think the white bread is to add calories and carbohydrates while being low residue. BTW, white rice is no easier to digest than brown rice, both are highly digestible sources of carbohydrates for dogs with little fiber.

I would consult with a vet nutritionist - a diplomate of the ACVN for your dog. I use Dr. Rebecca Remillard at the University of North Carolina School of Vet Med. Her consults are currently $50 and a diet formulation $100. She reviews your dog's case and consults with you and helps modulate the diet until your dog is on track.

By the way, any pet vitamin bought in a pet store is not a complete source of balancing for a dog with a home cooked diet. Those vitamins are meant for dogs on commercial diets, not for those on home cooked diets. It will not be sufficient to balance the meal. To be sure, don't take my word for it, do a consult and a professional veterinary nutritionist can tell you this information and whether these days there is a product that is suitable. To my knowledge, no over the counter product at the large box stores will do it. I have formulated my diets both with human supplements and with the BalanceIt product. None of the balance it diets for kidney disease can be purchased by you - you have to go through your vet. You can contact Balance It and ask Dr Delaney directly about it to be sure.

You also could contact Rayne Nutrition - tell your vet about it - they have a website as well - it's an industrial kitchen that makes up shelf stable or frozen foods for dogs w/ issues per vet recommendations. Two of my vets work with this company and really like it. Not sure on pricing, but they do have kidney diets.

Good luck.