Renal disease can be very frustrating for practitioners as there are not many conventional pharmaceutical preventatives, nor many options for many forms of renal failure. Research has shown the proven benefits of several herbal medicines for renal disease. This lecture will look at the herbal and nutraceutical options available for veterinarians to integrate into practice to further support and improve the quality of life for these patients, as well as managing the many sequelae which affect these patients including anorexia, anemia, hypertension, proteinuria, and lethargy. Learning Objectives: * Understand the framework for treating cats and dogs with an integrative medicine approach. * Recognize the current treatment limitations and how we can expand by incorporating herbs and nutraceuticals to our renal disease protocols• * Provide research backing the use of certain herbs and nutraceuticals for renal disease and its sequelae * Give veterinarians more tools to further be able to help their patients with renal disease.