This stuff seems to work well

My elderly dog has chronic kidney disease, and was previously on Epakitin as a phosphate binder. My vet reccomended we add Azodyl to her treatment plan, but I was reluctant to start another medication so I wanted to see if there was something that combined both of these, and this product is essentially that (both a phosphate binder and probiotics shown to reduce BUN/creatinine).
After about 4 weeks on this daily, her BUN went from 89 to 47, and her creatinine from 3.7 to 2.7, and her phosphorus has stayed within range!
The only issue is it tastes terrible (worse than Epakitin), so I don't add it directy to her food, but instead make a slurry of it with some syrup and give it as a chaser after every feeding.
Very pleased, hopefully we continue to see improvements in her numbers.