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Hi Rachel
We have 2 males that had bladder issues and both have been on Hills CD for 5 and 6 years. Only one time did one have issues again but not a blockage. So I swear on this kibble and the other cats will only eat it too since it smells so good. Now our feral is getting to where he won’t eat any other hard either. It must have a taste cats really love! I think the itching is possibly allergy related and that can take a long time to narrow down.