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In almost all cats, struvite (magnesium ammonium phosphate hexahydrate) forms without a urinary tract infection (i.e., sterile struvite uroliths).
Culture the urine before administering antibiotics if you suspect that the infection (urease-producing bacteria) is the cause of struvite formation.
In the attached PDF you can find diagnostic, medical, nutritional, and monitoring considerations. In addition to prevention of sterile struvite uroliths in cats.
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If the PDF preview does not work, you can download the attached material here.
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