You would know whether you trust this vet or not, but if it was me, I'd be seeking a second opinion elsewhere ASAP!
Where I work they prefer fasting prior to alot of blood tests, and I can't recall ever hearing any of the vets say a sick pet had to start eating first before they could do the lab work.
I've never heard of a vet that can diagnose kidney disease from simply 'feeling' the kidneys.A cat can have like 80% of the kidneys be non functioning before some show signs of the disease. Only lab lab work is going to give a proper answer, or at least remove concerns from the list of possibilities.
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