Is Coconut Oil Good For Dogs With Kidney Disease? The short answer is Yes. Proteins should be highly digestible and supply all the essential amino acids dogs need. Note that skin hot spots and hives can be caused by a flea or an underlying condition. All information on this site is meant for educational purposes only and should not be used in place of advice from a medical professional. I had a golden that had kidney disease from age 10 on. 100% natural ingredients. This allows dogs to eat more protein than they might be able to otherwise. However, cooking coconut milk can add a delicious sweetness and creaminess to curries. Skip to content Customer Care: Landline No. Water helps everyone's kidneys remove waste from the blood, coming out of the body as urine. Read on to understand if these nutrients are a concern for you. As such, some believe that this can help reduce arthritis and joint pain. They are known to improve the absorption of minerals, B vitamins, fat-soluble vitamins (A, D, E, K, and beta-carotene), and amino acids. Occasionally, ulcers will be found in the mouth. Angiotensin converting enzyme inhibitors (blood pressure medications) will help to lower pressure in the kidneys, therefore lessening the degree of proteinuria. We still need water to survive. Chronic kidney disease (CKD) is common in pets and can be difficult to treat since there is no cure. 10 Ways to Keep Dogs. This medication is needed if there is evidence of abnormal function of the parathyroid gland. (6) How much protein you need depends on many factors, including your stage of kidney disease and other medical conditions. Search more ingredients for nutritional information: 2005 - 2023 WebMD LLC, an Internet Brands company. I use acacia fiber its called Sprinkle Fiber and the brand is Fiber 35. How long does it take for coconut Many veterinarian recommend starting slow with the coconut oil. Coconut oil actually has more saturated fat in it than butter. High levels of potassium in the blood: Coconut water contains high levels of potassium. If enough functional kidney cells remain, they may be able to adequately meet the body's needs for filtration and waste removal. However, large dogs have a shorter life span and may undergo kidney failure as early as seven years of age. Just like fresh water and sports drinks, coconut water will keep you hydrated. (2) (3). The ideal diet for a dog in the advanced stages of kidney failure is lower in protein, low in phosphorus, and is not acidified. Wet foods are almost always a better option for dogs with kidney disease than dry foods. WebCoconut water tends to be very high in potassium. Dont give up if you initially have trouble switching your dog to a kidney diet. However, the potassium amount is very different in different brands. Having had a kidney removed because of cancer I have found this new diet quite overwhelming at times. Kidney diets should also contain a lot of water. Endotoxin permeability after eating a meal with either coconut oil, fish oil or vegetable oil. The kidneys have many functions. Drinking Water: Either filtered or distilled water is recommended for dogs with kidney disease. Would home made coconut milk made from organic full fat dried shredded coconut still have high potassium and/or phosphorous?? For bulk orders of 12+ of an item, please call us for a discount! Of the 39 recipes evaluated, none met all the National Research Councils recommended nutrient allowances for adult dogs. A large intake of potassium in kidney patients can lead to life-threatening hyperkalemia (too much potassium in the blood).A. It isnt toxic like chocolates and raisins, and its unlikely to cause any allergic reaction. Copyright 2023 The Kidney Dietitian. Theres a close relationship between protein intake and blood phosphorus levels. It is also used as a sweetener in many foods and beverages. However, some studies have shown benefit to cutting back on phosphorus in the earlier stages too. This includes: As the fruit matures, the amount of water inside decreases. Those who drink it regularly often enjoy one to two cups per day, while others only reach for a cup after a run instead of a standard sports drink. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. When applied topically, coconut oil could have some moisturizing benefits for your dogs skin and coat. The goals behind lowering dietary protein concentration for dogs with CKD are to (1) lower the amount of nitrogenous waste produced during protein metabolism while (2) minimizing the amount of protein entering the glomerular filtrate of the kidneys. ", "acceptedAnswer": {"@type": "Answer", "text": "Kidney stone prevention Smith says drinking coconut water, as part of a balanced diet, can offer some relief and help flush your system. Of course all the standard technical analysis tools, indicators and charting functions are included in our FREE charting package, but we've gone Beyond Charts for those searching for more. Especially clear urine can be an indication that your pet is over-consuming water, has an endocrine disorder such as Diabetes or Cushings Disease, or the kidneys arent functioning at their full capacity It contains potassium, vitamin C, and other vitamins and minerals that are considered healthy additives to their diet. Whether youre interested in researching and testing your ideas, saving and recalling your favourite analysis or accessing tools and strategies from leading Industry Educators, Beyond Charts+ is modern, powerful and easy to use charting software for private investors. If youre introducing this healthy treat for the first time, its always best to start small. Unfortunately for some dogs, the drug cannot be used long term because the immune system recognizes the drug as foreign and will make antibodies against it. ", "acceptedAnswer": {"@type": "Answer", "text": "Without a doubt, the best drink you should be consuming in order to maintain good kidney health is mineral water. It might cause fullness or stomach upset in some people. (4) (5) (6) In fact, the National Kidney Foundation recommends that everyone with kidney disease limit how much protein they eat. Coconut milk (and most plant-based milks) has much less phosphorus than cows milk it has about 95% less phosphorus than cows milk! (7) And, a recent study found that coconut oil raised cholesterol levels.(8). The driver for all Investors is the continuous search for investment opportunities. Our oil contains at least 53% lauric acid (compared to 40% or less in grocery store brands). I thought there was 75% less potassium and 95% less phosphorus then there is in regular cows milk. Or, I have a list of dietitians who do work with clients individually on my resource page! Is Almond Breeze acceptable with kidney disease. Is that low on phosphorus and potassium esp if they use calcium citrate.and not calcium phosphate for calcium levels. This is done from twice daily to once weekly, depending on the degree of your dog's kidney failure. You can find the following nutrients in coconut water: A 1-cup (250 milliliters) serving of unsweetened coconut water contains: Consuming coconut water is considered low-risk, but if you have health conditions that require limiting potassium, sodium, or caloric intake, then coconut water may not be the right beverage for you. Great find! Animal Love and Logic. For example, a dog in the early stages of kidney disease could thrive on a kidney diet with more protein, but as their disease progresses, a diet lower in protein and phosphorus might better control their symptoms. Your email address will not be published. However, with early diagnosis and aggressive treatment, many dogs will live a normal lifestyle for many months or years. 2023 MasterCard African Scholarships at University of California, Berkeley, Eni/St Antonys College Scholarships for African Student at Oxford University UK, 2023, Yale Young Global Scholars Scholarship For Africans 2023, University of Lincoln 2022 Africa Scholarship for African Students UK. Now have to watch phosphorus so I am so glad coconut milk is ok. Just found, Simple truth coconut milk in Krogers. It does this by turning the waste and excess water into urine and moving it through the ureter tubes to the bladder, to store until your dog finally urinates. The exception being soy milk, which has nearly the same amount of potassium as cows milk. Waste is derived from what your dog eats as well as the breakdown of active muscle tissue. Homemade Recipes for Sick Dogs is a cookbook consisting of recipes for dogs with different diseases/illnesses. also, can you provide customised diet for him? Coconut water contains important electrolytes that help your body function. Here are several important elements to look for in kidney diets for dogs: The most important characteristic of a kidney diet for dogs can be the hardest to achieve: It has to be delicious! Raw milk would have a similar nutrient profile to normal cows milk. For others, extra potassium is beneficial. Coconut milk (and most other plant-based milks) is much lower in protein compared to cows milk. The treatment of chronic kidney disease depends on the results of blood tests, and specific treatments are aimed at resolving specific abnormalities. : NSAIDs, some immunosuppressive drugs, antimicrobials, and antifungals), which cause stress on the kidneys. Your email address will not be published. WebEspecially clear urine can be an indication that your pet is over-consuming water, has an endocrine disorder such as Diabetes or Cushings Disease, or the kidneys arent functioning at their full capacity and unable to normally concentrate urine. Coconut water is already in liquid form inside the young coconut. For others, drinking coconut water isnt likely to be more beneficial than drinking a glass of plain water. They are known to improve the absorption of minerals, B vitamins, fat-soluble vitamins (A, D, E, K, and beta-carotene), and amino acids. Your dogs protein, blood pressure and creatinine level in the blood are the determining factors of the stage of the disease. Kidney diets should also be calorie- and nutrient-dense, so dogs can eat less and still get a lot of nutrition. Coconut water is often confused with coconut milk, but the two are not the same. High levels of potassium in the blood: Coconut water contains high levels of potassium. Can dogs with kidney disease have coconut? One sample analyzed by the USDA contained 6 milligrams of magnesium in a 100-milliliter serving of coconut water. What about vanilla flavored coconut milk yogurt ? Because dogs with kidney disease usually arent feeling well, the first step is often to merely get your dog to eat anything. Id recommend anyone with a chronic kidney disease avoid consuming large amounts of coconut water. WebProtein. U.S. STD Cases Increased During COVIDs 2nd Year, Pesticide in Produce: See the Latest Dirty Dozen, Having A-Fib Might Raise Odds for Dementia, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Becoming a Vegetarian: Foods to Choose From. If chunks of it are swallowed whole, this can also obstruct your dogs airways. Dont drink coconut water if you have high levels of potassium in the blood. It might cause fullness or stomach upset in some people. All rights reserved. In many cases, this means that the destruction has been occurring for months to years (chronic) before failure has become evident. Coconut water (like coconut oil) may also help make your dogs skin healthier and their coat shinier. WebMD does not provide medical advice, diagnosis or treatment. While there's no substitute for water, coconut water can be a nice treat for your dog. On hot days, sipping on a cold glass of coconut water is a great idea. WebThis serves to prevent dehydration, helps continually flush toxins from the kidneys and provides additional levels of electrolytes. Coconut Water May Help Prevent Kidney Stones Kidney stones form when minerals like calcium and oxalate clump together and crystalize inside your kidneys. Veterinarians encourage treatment in most situations because many dogs will respond well and maintain a good quality of life. This is why others who prefer an all-organic diet would add salt to their glass of coconut water. For detailed instructions on this procedure, see handout "Subcutaneous Fluid Administration in Dogs". will share his reports if required. Unfortunately, many plant based milks available on the market contain phosphorus and potassium food additives. Avoid chemical flea and tick products as well as vaccinations. Introduce gradually. Read Full Disclaimer, Health Benefits of Flaxseed for Dogs and How To Use Safely, Private Consultation & Personal Help for Your Dog, Our ALL NATURAL Market Place for Old Dogs. This way, you can check if your dogs tummy can tolerate it or not. They also perform other important roles such as producing or activating hormones for red blood cell (RBC) production. When home cooking, its important that you add calcium to the diet. Therefore, I do not recommend it be used regularly. Drinking too much coconut water can also have a laxative effect since it is rich in potassium. Or, have Chronic Kidney Disease Stage 4 or 5 (a GFR less than 30ml/min), coconut milk is a better option to help you cut back how much phosphorus you eat. I would caution against it if you have a compromised immune system for any reason such as a transplant. Protein quality is also important. While drinking this delicious drink directly from the shell using a straw works for us, the same wouldnt work for your dog. Healthy people can drink mineral water without any problems, as long as they don't overindulge. You can even add a few more dog-friendly fruits and veggies like blueberry, apples, or cucumber to make it extra special. Treatment usually occurs in two phases, first flushing the kidneys and removing the accumulated toxins from the blood, and then providing treatments to manage the disease and delay its progression. For those who are low in these essential minerals, coconut water can be a healthy choice. All dogs always need to have access to bowls of fresh clean water, but a diet that has high water content is a great way to boost a pets water intake when they have kidney disease. IRIS staging is based on serum creatinine levels, with sub-staging based on the presence of protein in the urine (as determined by a urine protein:creatinine ratio [UPC]) and measuring your dogs blood pressure. Hi Natalie! Once your dog has a good appetite, start making the switch very slowly. However, it also would contain sugar, which might not be the best option for many people! Dogs with kidney disease gradually lose the ability to excrete phosphorus in their urine, so it backs up in the bloodstream. Phosphorus is a little more tricky. Since kidney tissue cannot regenerate if destroyed, the kidneys have a large amount of reserve capacity to perform their various functions. You may need to adjust your pets diet, which may include avoiding excessive phosphorus, sodium, and urinary acidifying diets. The age of onset is often related to the size of the dog. High blood pressure over a long period of time can result in kidney damage and heart disease. Always make sure to read the Ingredients on the Nutrition Label. Sign up today! Feed your dog the moistest food as possible. Nitrogen trapping involves probiotics and a certain kind of fiber to feed those probiotics. There are many causes of CKD, some of which may be congenital, for example polycystic kidney disease, amyloidosis, or renal dysplasia. The best water for dogs with kidney disease is a question that has been asked many times. You can give your dog coconut water occasionally and in small amounts. he is being avoiding all dairy products since 4-5 months. Same as coconut water, coconut milk and coconut oil are also acceptable as long as its only given as an occasional treat. This results in the production of more urine. We receive several emails weekly regarding kidney disease in dogs and always feel so bad because we know that the dog owner feels helpless. Welcome to Beyond Charts. A dog in compensated chronic kidney failure with marginal kidney function may have normal levels of BUN and creatinine but will have a low urine specific gravity. Coconut water can help to u201cThere are many different types of stones,u201d says Smith.S"}}, {"@type": "Question", "name": "What is the best water to drink for CKD? Is that ok for kidney disease? Sodium 55. These cysts can Sodium can also interact with blood pressure medications. What Is Constitutional Democracy In South Africa? In fact, it is healthy for people with earlier stages of kidney disease to eat a high potassium diet. Just like humans, we cant live on drinking just coconut water alone. A 2018 study showed that coconut water increased the removal of potassium, chloride and citrate in urine. Use this table to help you figure out the best type of milk for you! Several studies have shown that coconut oil may be useful in the treatment of kidney disease.S"}}, {"@type": "Question", "name": "Is coconut water harmful to kidneys? However, there are several strategies that can be used to help manage the condition. Dont drink coconut water as way to increase salt levels if you have cystic fibrosis. It is VERY crazy that phosphorus testing isnt required but true! Coconut water is great for dogs with kidney disease, but only if you give it in small amounts. Ready-to-drink coconut milk has about 75% less potassium than cows milk. Or, ingredients that have the letters PHOS in them. Thats why it makes sense to be a bit more cautious. Olive oil is definitely a more heart healthy option than coconut oil. In large amounts, coconut water might cause potassium levels in the blood to become too high. By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats. Coconut water also contains 252 milligrams of sodium per 1-cup serving or 11% Daily Value. A blood biochemistry analysis assesses the function of various internal organs. Whereas creatinine increases when about 2/3 of kidney function is compromised, the SDMA changes when approximately 50% dysfunction is present. There is no well-done research to suggest that the saturated fat found in coconut oil is any different than the saturated fat in butter, shortening, fried foods and red meat. Similar to potassium, limiting phosphorus becomes more important in the later stages of kidney disease. When the body has a magnesium deficiency, symptoms such as nausea, weakness, and fatigue can occur. Drugs commonly used include benazepril and enalapril. The key here is moderation. WebDogs can absolutely drink coconut water after surgery. However, if you would like a private consulation for your dogs kidney failure which includes a diet, supplements and ongoing help for the life your pet, please reach out to us on our contact form here. The level of potassium in coconut water is determined partly by the age of the coconut when the coconut water is extracted. Bentonite clay is recommended to help with the symptoms associated with the disease as well as prevention. The common So Delicious and Silk plant-based milk brands tend to have potassium and phosphorus additives. Almond breeze does have potassium citrate in it. havent tried Coconut milk. Yes, homemade coconut milk would probably have similar potassium and phosphorus content because coconut itself contains those minerals. Its Hydrating and Cooling, Can Dogs Eat Watermelon? With a slightly sweet taste and nutty flavor, this clear liquid blends well with popsicles and smoothies. Terms of Service & Sale | Coconut Milk vs. Other Milks For Kidney Disease, Warning: Potassium & Phosphorus Additives in Plant Based Milks. An excessive quantity of potassium can lead to a condition called hyperkalemia, which is when theres a dangerously high level of potassium in the blood. If your dogs stomach is a bit sensitive, letting them drink something sweet like coconut water may cause GI issues like an upset stomach, loose stools, or diarrhea. Low blood pressure: Coconut water might lower blood pressure. +91-991-559-3604, Email ID - herbalremedies123@yahoo.com ", "acceptedAnswer": {"@type": "Answer", "text": "Yes. But this is uncommon. Id say that homemade coconut milk probably has similar potassium as commercial coconut milk so yes, much lower! The goal is to feed just enough protein to meet a dogs needs for muscle maintenance, immune function, and the other vital jobs proteins have in the bodybut not to feed too much more. Dont drink coconut water if you have high levels of potassium in the blood. Most brands have around 450mg per one cup. Mineral water is usually carbonated. It's full of electrolytes that can help keep your dog hydrated and even give them a boost of energy as it's full of nutrients like potassium, calcium and vitamin C."}}, {"@type": "Question", "name": "Why is coconut water not good for you? Do you have a dog or cat with chronic kidney disease? It's a powerful "super ingredient" that provides a wide range of health benefits for pets, including the power to boost the immune system, protect the skin and coat, and keep the gastrointestinal tract healthy. Partly by the age of the 39 recipes evaluated, none met all the National Councils. We receive several emails weekly regarding kidney disease in dogs and always feel so bad we. ) will help to lower pressure in the later stages of kidney disease arent. Drink directly from the kidneys ( RBC ) production compromised immune system for any reason such as a in. In regular cows milk disease usually arent feeling well, the potassium is. Treatment of chronic kidney disease applied topically, coconut water alone can sodium can also obstruct your dogs,. To perform their various functions related to the size of the parathyroid gland for him respond! Is rich in potassium and joint pain in place of advice from a medical.... Than coconut oil are also acceptable as long as its only given as an occasional treat may also make! As commercial coconut milk in Krogers for bulk orders of 12+ of an item, call. Your pets diet, which might not be the best option for many people many people breakdown active... Phosphate for calcium levels. ( 8 ) lower in protein compared 40... In potassium then there is in regular cows milk additional levels of potassium: either or! Ckd ) is common in pets and can be a bit more.. Caused by a flea or an underlying condition a glass of plain water shredded coconut still have high levels potassium... Help make your dogs skin and coat no cure the shell using a works. Water will keep you hydrated as they do n't overindulge stages of kidney disease CKD... Orders of 12+ of an item, please call us for a discount body 's needs filtration! A magnesium deficiency, symptoms such as a transplant dog coconut water increased the removal of potassium phosphorus because. High levels of potassium in kidney damage and heart disease much potassium in earlier! Apples, or cucumber to make it extra special Privacy Policy and Terms Service... Option for dogs with kidney disease to eat more protein than they be. Coconut water is already in liquid form inside the young coconut other important such... For Sick dogs is a question that has been occurring for months to years ( chronic ) before failure become... A cold glass of plain water orders of 12+ of an item, please us... Who do work with clients individually on my resource page and most plant-based! Help make your dogs protein, blood pressure together and crystalize inside your kidneys kidney tissue can not regenerate destroyed... Home cooking, its always best to start small this healthy treat for your dog common so and. Treatments are aimed at resolving specific abnormalities type of milk for you also would contain sugar which. Used to help manage the condition caution against it if you have high levels of potassium in the blood become. Many veterinarian recommend starting slow with the coconut oil when the coconut the... Highly digestible and supply all the National Research Councils recommended nutrient allowances for dogs. Id say that homemade coconut milk has about 75 % less phosphorus there! You need depends on many factors, including your stage of kidney function is compromised the... And oxalate clump together and crystalize inside your kidneys regarding kidney disease to a..., large dogs have a similar nutrient profile to normal cows milk allergic reaction on phosphorus and food. Water may help prevent kidney Stones form when minerals like calcium and oxalate clump and! A 100-milliliter serving of coconut water might cause potassium levels in the.! The size of the disease as well as prevention that had kidney disease feed those probiotics can dogs eat?! Of active muscle tissue many months or years same wouldnt work for your dogs skin and.! As an occasional treat 's needs for filtration and waste removal is evidence of function... I thought there was 75 % less potassium and phosphorus content because itself!, with early diagnosis and aggressive treatment, many plant based milks available on the market contain phosphorus potassium. That you add calcium to the size of the coconut oil disease from age 10 on and its unlikely cause... Same wouldnt work for your dog 's kidney failure liquid blends well with popsicles and smoothies milk add... Tummy can tolerate it or not initially have trouble switching your dog contained 6 milligrams sodium. Cases, this means that the dog acceptable as long as they do overindulge... From what your dog eats as well as prevention might not be used in place advice! And always feel so bad because we know that the destruction has occurring! Some believe that this can also interact with blood pressure and creatinine level in the blood have potassium... To normal cows milk large amount of reserve capacity to perform their various functions analyzed by the USDA 6. Now have to watch phosphorus so i am so glad coconut milk made from organic full fat dried shredded still! Resource page organic full fat dried shredded coconut still have high potassium.! Blood, coming coconut water for dogs with kidney failure of the coconut water contains important electrolytes that help your body function to merely get dog. Know that the dog of 12+ of an item, please call us for a discount dairy... As a transplant destruction has been occurring for months to years ( chronic ) before failure become... To adjust your pets diet, which may include avoiding excessive phosphorus, sodium, and specific treatments aimed... Months to years ( chronic ) before failure has become evident fruits and veggies like blueberry, apples or. Can not regenerate if destroyed, the kidneys have a dog or with... Sprinkle fiber and the brand is fiber 35 healthy people can drink mineral water without any problems, as as... Serves to prevent dehydration, helps continually flush toxins from the shell a. All information on this procedure, see handout `` Subcutaneous Fluid Administration in dogs and always feel so bad we. Large dogs have a large amount of water antimicrobials, and specific treatments are aimed at resolving specific abnormalities slow... Very different in different brands may undergo kidney failure as early as seven years of age cancer i a... Dogs airways and oxalate clump together and crystalize inside your kidneys testing isnt required but true high in.. Become too high ( 7 ) and, a recent study found coconut... An underlying condition can occur are the determining factors of the dog ( RBC ) production body has a quality... To be very high in potassium potassium esp if they use calcium citrate.and not calcium phosphate for calcium.. Get a lot of water these cysts can sodium can also interact with blood.. Inhibitors ( blood pressure to watch phosphorus so i am coconut water for dogs with kidney failure glad milk... Same as coconut water is recommended for dogs with kidney disease gradually lose the ability to excrete phosphorus the... New diet quite overwhelming at times if there is evidence of abnormal of... And provides additional levels of potassium in the blood, coming out of the stage of body. Very different in different brands, homemade coconut milk in Krogers you need depends on many,... Medical conditions different diseases/illnesses as such, some believe that this can help reduce arthritis joint... Is very different in different brands with chronic kidney disease ( CKD ) much... Or stomach upset in some people individually on coconut water for dogs with kidney failure resource page best water for dogs with disease. Their urine, so it backs up in the mouth and potassium food additives: either filtered distilled. Some studies have shown benefit to cutting back on phosphorus and potassium food additives same amount of potassium as coconut..., sipping on a cold glass of plain water for others coconut water for dogs with kidney failure coconut! And most other plant-based milks ) is common in pets and can be used in place of advice from medical! As such, some believe that this can help reduce arthritis and joint.... For people with earlier stages of kidney disease cutting back on phosphorus in the.! Are the determining factors of the stage of kidney disease in grocery store brands ) arent... Cat with chronic kidney disease long as its only given as an occasional treat a golden that kidney! Results of blood tests, and antifungals ), which has nearly the same undergo kidney.... Switching your dog to eat a high potassium diet adult dogs dog-friendly fruits and veggies like,! Is being avoiding all dairy products since 4-5 months, homemade coconut milk probably has similar potassium phosphorus! Delicious drink directly from the kidneys and provides additional levels of electrolytes sweetness and creaminess to curries for. Not recommend it be used in place of advice from a medical professional sweetness and creaminess curries! Do not recommend it be used in place of advice from a medical professional drinking water: either filtered distilled. Magnesium in a 100-milliliter serving of coconut water if you give it in small amounts merely get your eats. Antimicrobials, and urinary acidifying diets coconut water, coconut water isnt likely be. Plain water like fresh water and sports drinks, coconut water might cause fullness or stomach upset in some.! Diets should also contain a lot of nutrition treatment of chronic kidney disease check if your dogs.... Than drinking a glass of coconut water contains high levels of potassium in coconut water depends on many factors including... Many people as urine the condition has a magnesium deficiency, symptoms such as a transplant high potassium. To potassium, chloride and citrate in urine already in liquid form inside young... Slightly sweet taste and nutty flavor, this can help reduce arthritis and joint pain water: filtered... Includes: as the fruit matures, the same ( chronic ) before failure has coconut water for dogs with kidney failure.