When the body's detox system is not working correctly, the immune system is affected. Compromised immune system makes bacteria more likely to multiple. IMO, feed what you want to feed and recommend what you want to recommend. I recommend going with the experts on this and not Google.
I have a liver compromised dog and there is no way I would give her raw meat and no way her nutritionist would ok the idea. And no, she is not trying to make sales for Purina or SD either. She actually encouraged homecooking.
As for only listening to veterinary nutritionists if they feed PMR, to each their own. I can almost guarantee you will never find one. A lot of them have their PhD on top of their DVM. Dog food ompanies do not tend to teach phD students. I think they have enough knowledge to evaluate PMR. They don't feed it to their dogs or very valid reasons.
And Vital is over 40% protein on a dry matter basis.
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