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When creatinine is above 2.0 mg/dL or fasting blood phosphorus is above 4.5 mg/dL, then it is time to reduce dietary phosphorus, depending on how high the creatinine and blood phosphorus readings are. For very early-stage kidney disease, a valid goal is about 60 mg phosphorus per kilogram of body weight (about 27 mg/lb) daily. This amount would go down to about 40 mg/kg (18 mg/lb with moderate stage disease, to a low of about 22.5 mg/kg (10 mg/lb) for dogs with late-stage kidney disease.