My obese cat's bloodwork: Any other health issues to worry about?

Question

Aside from early kidney disease, are there any other immediate concerns from this bloodwork ? Negative for FIV and FeLV .. she is 7 and obese / has been on a diet since we got her 2 months ago. We have to do a urinalysis still. Thank you. Pet's info: Cat | Domestic Shorthair | Female | spayed | 16 lbs

Lauren Jones VMD · Accepted Answer

Even though Annie's SDMA is at the upper end of normal, I don't see evidence of early kidney disease due to her normal BUN and creatinine values. A urinalysis will help to determine how well her kidneys are functioning to concentrate urine. It looks as though she has a few extra red blood cells (mildly increased hematocrit) and is making some extra red blood cells (slightly increased reticulocyte count), as well as a mild drop in her neutrophils (a type of white blood cell). All of these fluctuations could be associated with a relatively recent mild infection or illness that she's since recovered from. If she's clinically doing well, I wouldn't otherwise think too much of these values. I see that she also has a bit of hyperkalemia (high potassium), which is increasing her Na/K (sodium to potassium ratio). While hyperkalemia can occur with kidney disease, I would also expect to see at least moderate increases in BUN and creatinine at the same time. Other issues, like stomach upset, parasites, or certain medications can also increase the potassium values. I would still check a urinalysis to help get a complete picture. If your vet also recommends doing so, repeating this bloodwork in another month or two is a reasonable idea to track any changes. I hope that everything goes well!

My obese cat's bloodwork: Any other health issues to worry about?

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