Shake Up Your Workup

In Purr-suit of Health—Does Early Intervention Help in Feline CKD?

July 16, 2026·29 min
Episode Description from the Publisher

Chronic kidney disease (CKD) is common in aging cats—but could earlier intervention change the course of disease? In this episode, Dr. Sylvia Conway sits down with Dr. Natalee Holt to discuss the value of early CKD detection, the role of phosphorus in disease progression, emerging biomarkers like FGF-23, and new data supporting early intervention. Tune in for evidence-based insights on screening, monitoring, nutrition, and partnering with pet owners to help cats live longer, healthier lives.About our guest: Natalee Holt, DVM, DACVIM (SAIM), graduated from veterinary school in 2003 from Kansas State University, completed a small animal rotating internship at Colorado State University and a small animal internal medicine residency at Tufts University in 2011. She worked in private specialty practice in New Hampshire prior to joining IDEXX. Natalee lives outside of Boston with kids, dogs, cats, and honeybees!To learn more about today’s topic, check out these additional resources:• Appearances Can Be Deceiving: Detecting Renal Disease in ‘Healthy’ Patients• Comprehensive Management of Feline CKD (Brought to you by the Purina Institute)• Episode 3: Acute vs. Chronic Kidney Disease—Current Thinking and Diagnostics to Help Improve OutcomesReplay season one episodes on the IDEXX Learning Center.About our host:Sylvia Conway BSc, BVetMed, MRCVSDr. Conway is the host of the Shake Up Your Workup podcast. She joined IDEXX in May 2014 after spending five years as a mixed and small animal veterinarian in the United Kingdom. She currently oversees medical education tracks at tradeshow events and enjoys all aspects of her role. Dr. Conway is passionate about delivering clinically relevant medical education that promotes best practices and adds value to the day-to-day lives of veterinary practitioners.Originally from London, Dr. Conway relocated to Amsterdam, Netherlands, in February 2013. She still lives in Amsterdam with her husband, two young sons, Frankie the cat, and their canine companion, Wappie.Thank you for listening to Shake Up Your Workup. You can contact us at shakeupyourworkup@idexx.com with comments and feedback.Disclaimer: This podcast features hosts and guests who may be employed by IDEXX Laboratories, Inc. or its affiliates ("IDEXX"). The content of this podcast is provided for general informational purposes only and should not be taken to represent official IDEXX policies, guidance, or positions. The views, thoughts, and opinions expressed in this podcast are those of the individual speakers only.This podcast may reference IDEXX products or services as part of the professional discussion. Any such references are for informational purposes only and do not constitute technical instructions or convey any express or implicit performance guarantee or warranty, nor do they constitute to any regulated product claims.Nothing in this podcast should be considered medical or veterinary advice. Diagnostic discussions or recommendations may not be appropriate for all clinical circumstances, and regulatory requirements for diagnostics, treatment, and product use may vary between regions. Listeners should always rely on their own veterinary judgment and consult applicable local laws, regulations, and professional guidelines before making decisions about diagnostics, treatment, or patient care.IDEXX makes no representations or warranties regarding the accuracy or completeness of the information discussed, and IDEXX is not responsible for any loss or damage arising from reliance on the information provided in this podcast.

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