Thank goodness you stepped in when you did otherwise, yes, he would not have survived. My cat Shadow had that disease (FUS) at age six and lived another 10 healthy years after that because of the change of food and litter. I am thinking though that since you said 20 pounds that you are feeding Richie mainly dry food; I am not a vet but have always had cats and volunteer for 3 rescues - dry food is often full of chemicals and fillers, even the prescription diets sold at vets. It is also causing obesity among cats (three of our vets even told us this). Cats are carnivores and need meat which they can get from moist food. In your cat's case I would suggest feeding more canned food with very low ash and magnesium and if you give any dry, low ash and magnesium is also the key and there are some very good brands on the market by Wellness and Evo that make both canned and dry, to name a few. Also, be sure you are not using clumping litter that has a warning DO NOT FLUSH on it (actually no one should be using this litter as it has an ingredient in it that causes the litter to clump in the box AND also in your cat, which can be fatal causing dehydration - many cats and dogs have perished). Listen to your vet of course but remember that it is an industry and thankfully we can educate ourselves through the internet as well. All the best to you and Richie.
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