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The ideal dry cow transition diet and management system...
prevents clinical and subclinical hypocalcemia and ketosis
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What are health problems that are linked with poor transition cow management?
- hypocalcemia
- ketosis
- DA
- mastitis
- RP/metritis
- hoof problems/ lameness
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Ketosis increases a cow's risk for __(3)__ because...
- DA b/c of decreased intake
- mastitis d/t depressed immune function
- metritis d/t depressed immune function
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The most direct cause of a retained placenta is __________, but this is hardly ever a problem with diets now d/t supplementation; now, RPs are usually correlated with...
- Se deficiency; hypocalcemia
- (high incidence of RP? --> what is their clinical milk fever rate?--> now extrapolate that to include subclinical b/c clinical is just the tip of the iceberg)
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How is clinical and subclinical hypocalcemia diagnosed?
- Clinical: down cow, cold ears, dilated pupils, etc
- Subclinical: blood Ca <8-8.5mg/dL
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How is clinical and subclinical ketosis diagnosed?
- Clinical: lethargic, off-feed, dehydrated, ADR
- Subclinical: BHBA > 1200mM/L
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Where do ketones come from?
ketone bodies are derived from fat oxidation (burning up fatty acids--> ketone bodies are what's left)
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__(2)__ both indicate mobilization of fat; __________ are much more related to negative energy balance.
BHBA/ketones and NEFAs; BHBA
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What are the 2 biggest reasons that NEFAs would be elevated?
- feeding a lot of fat in the diet (this isn't usually the cause because we don't feed dry cows a lot of fat)
- mobilization of body fat d/t higher BCS and decreased intake
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If you are having a lot of DA problems, you should...
go to the dry group and get blood to rest NEFAs so you can determine if this is a pre-partum problems (you don't want to test BHBA because if they have DAs, you already know it will be elevated; NEFAs normally spike at calving)
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What are pre-partum and post-partum indicators of increased risk for DA?
- Pre-partum: NEFAs
- Post-partum: BHBA
- both are indicators of negative energy balance/ fat mobilization/ ketosis
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___________--> lower blood Ca++ --> higher risk for post-partum health problems?
Higher milk production
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If DCAD is +,...
- the cows will be alkalotic--> higher risk for hypocalcemia
- this is usually associated with high K+
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How are feed Ca+ levels related to hypocalcemia?
- Low Ca and High Ca
- Low Ca diets basically do not exist in the U.S. because our forages are very high in Ca
- High Ca diet is more likely to be related to hypocalcemia in the US
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How is feed Ph level related to hypocalcemia?
- high Ph increased milk fever risk
- Ph inhibits the enzyme that activates Vit D--> Ph excess--> less active Vit D--> less Ca absorption--> hypocalcemia
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How is Mg feed level related to hypocalcemia?
- Mg deficiency is a factor for hypoCa
- Mg stimulates the enzyme that activates Vit D--> Mg deficiency--> less active Vit D--> less Ca absorption--> hypocalcemia
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How are feed Vit D levels related to hypocalcemia?
- Vit D excess or deficiency is related to hypocalcemia
- Vit D is linked to Ca absorption from the gut
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What are the DCAD ions? How are they related to hypocalcemia?
- K, Na, Cl, S must be looked at TOGETHER as a unit
- the biggest offender is K; high K causes hypoCa; forages are high in K+
- Na and Cl don't change very much ever, they are completely dependent on salt content of feed
- S can change a lot depending on fertilization of the soil
- high K is relative to the other DCAD ions; for instance, if you also have high S, the cow can handle higher K
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What is the rate of hypocalcemia in heifers in the US?
10% of heifers (good herd can get it as low as 4%)
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What is the rate of subclinical hypocalcemia in the US dairy herd?
50% of cows in the US have subclinical milk fever
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How do DCAD diets work?
feed DCAD diet—> induce metabolic acidosis—> blood pH drops—> the cow needs to buffer this with Ph from bone—> CaPh is released from bone (the Ca comes along for the ride)—> the excess Ca is removed by the kidney (remember: the cow isn’t producing milk yet)—> cow calves, the bone is already releasing Ca, so once the demand for Ca occurs at freshening, the Ca goes to the mammary instead of being peed out
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What are the 3 tightly regulated mechanisms to regulate body Ca?
- gut absorption
- bone deposition/ mobilization
- kidney excretion
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What is the simple and low risk method of decreasing hypocalcemia?
feed a marginally Ca deficient diet, the gut will up-regulate and be very efficient at extracting Ca—> feed low Ca diet during dry period so gut gets more efficient at absorbing it, then increase Ca in diet after calving and the gut will absorb a lot of the Ca for milk production [this works in theory but in the US its hard to get a Ca deficient diet]
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Why do cows get milk fever?
- once a cow calves, the increase in calcium absorption must occur within 30 hours after she starts producing milk; the gut cannot respond that fast, so blood calcium levels drop transiently after calving
- [this is the rationale behind feeding a marginally deficient Ca diet, so the gut becomes more efficient at absorbing Ca before calving]
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Preventing hypocalcemia: (3)
- maximize ability to absorb Ca by the gut
- increase Ca resorption from bone
- reduce urinary loss of Ca
- [all require PTH and production of active vit D]
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What dietary changes can you make to prevent hypocalcemia? (5)
- Very easy to achieve: adequate Mg and Vit D with supplementation
- Usually easy to achieve: low Ph (avoid cheap feeds, which are high in Ph)
- Difficult to achieve: low Ca and Low K (high amounts of these in US forages)
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What is a great feed for dry cows?
- straw- low Ca, low K [the problem with straw is expense]
- grasses- low Ca
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How is Mg supplemented?
- usually Mg Oxide because is less expensive
- SHOULD USE Mg sulfate because it helps lower blood pH, which can help compensate for high K (remember:we want metabolic acidosis to mobilize Ca in bone)
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What is the goal when calculating a DCAD diet?
- -20mEq/100g
- since you can't really reduce Na, you need to reduce K or feed more Cl (not in salt form...don't want to increase NA too)
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What are requirements for feeding anionic salts (DCAD diet)?
pre-fresh group; you don't want to feed DCAD more than 2-3 weeks because you can cause osteoporosis if they are mobilizing Ca in bone for that long
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What is the major risk for using DCAD diets?
- if it's done incorrectly, you will fix the hypocalcemia and cause major ketosis problems
- the biggest reason this causes ketosis is you’re dropping blood pH too much—> with blood pH too low, the cow will stop eating to try and increase blood pH—> low intake—> ketosis
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How do you ensure DCAD diet is working?
- monitor urine pH (should be ~6.5)
- start DCAD at ~-10mEq/100g, check urine in 2-3 days, titrate DCAD as needed
- continue monitoring urine pH because %K in forages is EXTREMELY variable, between batches and even between spots in one batch
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Why shouldn't you just monitor average urine pH when monitoring DCAD diet?
- you often get a bimodal distribution: a group with low urine pH and a group with high urine pH
- this means that some cows aren't eating the diet because it's not palatable
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Describe glucose metabolism and how this related to ketosis.
- feed cow starch--> starch is converted to proprionate in the rumen--> proprionate is absorbed into the blood and travels to the liver--> in the liver, proprionate is converted to glucose (almost none of the blood glucose is from the feed; it is all made by the cow)
- ketosis is glucose deficiency, so either the cow is lacking substrates proprionate and AAs (type 1) or the cows liver is not functioning to synthesize glucose (type 2)
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What are the 2 types of ketosis?
- Type 1 (classical ketosis): 2-4 weeks post-partum, cow is not getting enough substrate to make glucose (feed more starch and protein); responds well to therapy
- Type 2 (peri-partum ketosis): pre-partum or 2-3 days fresh; caused by fatty liver; does not respond well to therapy
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Describe the pathophys of type 1 ketosis and how this relates to management practices.
- [SUBSTRATE PROBLEM]
- the cow is lacking in proprionate or amino acids--> no substrate for the liver to synthesize glucose--> glucose deficiency--> mobilize and oxidize fat--> increase ketone bodies
- Evaluate the starch and protein in the diet and ensure intake is adequate: 25% starch and 17-19% protein are the goals (adequate proprionate and amino acids)
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Describe the pathophys of type 2 ketosis.
dry cows are not lactating and have low energy requirements--> positive energy balance, gaining weight--> she gets close to calving and intake drops--> body goes into starvation mode at neutral energy balance and starts mobilizing fat--> NEFAs increase--> high circulating NEFAs go to the liver (b/c they can't go to milk when she isn't making any)--> fat accumulates in liver--> she calves and starts lactating and glucose requirement goes up dramatically--> fatty liver has lost synthetic ability and con't make glucose--> clinical ketosis
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What is important to remember about type 2 ketosis in regards to energy balance?
they do NOT NEED TO GO INTO NEGATIVE ENERGY BALANCE to get fatty liver and type 2 ketosis
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What is the management key to preventing type 2 ketosis? (2)
- don't overfeed energy to your dry cows and let them get fat (keep them at neutral energy balance)
- minimize the pre-partum drop in intake as much as possible
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How can we minimize the decrease in intake pre-partum?
- don't overfeed dry cows and give her more energy than she needs--> energy intake drop is much less pre-partum--> she does not enter starvation mode and start mobilizing fat
- FEED LOTS OF FIBER to fill her up so she eats less during the dry period
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What are the goals for a dry cow as far DMI and diet?
- 25-27# DMI
- start with 45% NDF (remember: NDF limits intake)--> measure pen intake--> titrate NDF until intake is ~25-27# DMI
- feed straw ideally- high NDF, low Ca and K
- second option is mature grasses- but these have high K so be careful not to cause HypoCa
- feed to NEL requirement (not above or below)
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What are some additives we can use to decrease ketosis, and how does each work? (2)
- rumen-protective choline: helps mobilize fat in the liver; expensive so you should have a pre-fresh group if you're going to feed this
- rumensin: stimulates proprionate production and helps stabilize intake; helps with both types of ketosis
- Niacin: NOT PROVEN, don't waste money on this; B vitamin
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What are the 4 systems of grouping and feeding cows?
- Dry Cows--> Lactating Cows
- Dry Cows--> Pre-fresh Cows--> Lactating Cows
- Dry Cows--> Fresh Cows--> Lactating Cows
- Dry Cows--> Pre-fresh Cows--> Fresh Cows--> Lactating Cows
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What is the one major reason to have a specific pre-fresh group AND diet?
- to feed DCAD because of milk fever problems
- can have a pre-fresh group for management reasons without feeding a specific pre-fresh diet
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What group is important to have if you have hypocalcemia problems?
- Pre-fresh group to feed DCAD
- Or if you're just going to feed low Ca diet, Dry group will work well too
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What group is important to have if you have ketosis problems?
- Type 1: you need a fresh group to ensure fresh cows are getting enough feed
- Type 2: you need to address you dry cow diet
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What group would you suggest to add if the farm is having no major health problems but wants to increase production? Why?
- Add a fresh group
- feed fresh cows higher protein (still 25% starch)--> higher peak milk
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DCAD diets are not palatable. How can you entice cows to maintain intake on DCAD diets?
more grain
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What are the major goals when feeding the fresh cow group? (5)
- feed HIGHEST quality forages (50-60%)
- adequate, but not excess, starch (25%)
- high crude protein (17-19%)
- limit fat (<5%) (high fat in early lactation will decrease intake--> type 1 ketosis)
- ADEQUATE BUNK SPACE
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