Pets can have active
kidney injury
WITHOUT
decreased kidney
function.
Source: Hall JA, Yerramilli M, Obare E, Yerramilli M, Almes K, Jewell DE. Serum concentrations of symmetric dimethylarginine and creatinine in dogs with naturally occurring chronic kidney disease.
J Vet Intern Med. 2016;30(3):794–802. doi:10.1111/jvim.13942