
Ketosis in cows: causes, signs, liver health risks
Learn how energy deficits around calving can trigger ketosis and fatty liver, and how early detection, targeted nutrition and liver support can protect cow health, fertility and performance.

Learn how energy deficits around calving can trigger ketosis and fatty liver, and how early detection, targeted nutrition and liver support can protect cow health, fertility and performance.

In veterinary medicine, ketosis is defined as the increased formation of acetone, a metabolic product, in the blood. Ketosis, also referred to as acetonemia, is a disorder of energy metabolism. It is the most important metabolic disease of the dairy cow and occurs 90% of the time during early lactation, the period with the highest energy deficit.
As the central metabolic organ, the liver is exposed to severe stress around the birth period (transit phase). A reducing feed intake is accompanied by an increasing need. This need can be very heavily or often not at all covered by the feed intake at the latest after the birth. A high-performance cow inevitably has to melt down body substance to compensate for the lack of nutrients.
In many animals in this case, the melted fat cannot be integrated into the energy metabolism because the glucose required for this is also deficient. As a result, the cow slides into a ketosis.
Ketosis is one of the most common metabolic diseases of today’s high performance cows and leads to considerable economic losses.
Ketosis can be divided into a sub-clinical and clinical phase. The following symptoms are not immediately visible in cows suffering from sub-clinical ketosis:
firmer dung or diarrhoea
no desire to eat
weight-loss
On the other hand, the clinical symptoms are concrete and can directly indicate ketosis:
acetone smell
shinier and concentrated to disc-shaped dung
wobbly walk
nervousness
aggressiveness
Are you unsure whether your cow has ketosis? Test the blood, urine or milk of the cow.
Feeding the high-performance cow is a tightrope walk between ketosis and acidosis. Because of the rapid increase in milk yield after calving, there is a high milk sugar release. There is also a high energy requirement for milk protein synthesis. The aim is to transform the negative energy balance into a positive one by the 50th day of lactation.
Cows are able to compensate part of the energy deficit by breaking down body fat. The use of body energy reserves of up to 25% is possible.
The rapid mobilisation of body fat promotes the development of metabolic disorders. Excessive mobilisation prevents the liver from metabolising all free fatty acids. The consequences are fatty degeneration of the liver and ketosis, which in turn favour other diseases such as mastitis, ovarian cysts, claw diseases, and endometritis.
Financial damage due to ketosis is caused, among other things by …
reduced feed intake,
increased susceptibility to udder and claw diseases,
poorer fertility,
reduced milk yield
and a higher culling rate
If a cow has ketosis, this can entail the following costs:
| what? | how much? |
| glucose drench* | 5.00 € |
| propylene glycol (sodium-propionate) shot approx. 200 g | 1.00 € |
| Kexxtone Bolus | 40.00 € |
| ketosis treatment (veterinarian) | 60.00 € |
| calcium drench* | 5.00 € |
loss of performance
higher morbidity
culling rate
etc.
In total, costs of €200 to €400 can be incurred per ketosis and animal. If these costs are extended across several cows, it can lead to high economic problems.
High production potential of today’s genetics inevitably lead to a negative energy balance in early lactation. In this period the liver is extremely stressed. The consequence frequently is a ketosis or the development of a fatty liver. The liver is the central metabolic organ, as shown by the following figure.

An overloaded liver can no longer function properly. Therefore your cows become more vulnerable to disease – especially ketosis.
Therefore, it is important to protect the liver and to prophylactically prevent liver damage. Learn how this is possible in the next section.
The special feed JOSERA DairySafe with the LSP active ingredient package supports you so that the cow does not suffer liver damage.
DairySafe helps the liver to detoxify ammonia, form urea, detoxify bilirubin and detoxify medication.
In addition DairySafe leads to:
DairySafe contains the innovative active agent package, LSP, the liver safety package.
A specific combination of rumen-protected active agents support the liver‘s functions. The excess fat can be removed or be metabolised better by the body. LSP is the active ingredient package with biologically active substances that supports the liver function and stabilises the metabolism in the perinatal phase.
DairySafe …
… reduces fat mobilisation
… supports gluconeogenesis and increases the blood sugar level
… degreases the liver and supports its performance
The following images make the effect clear.
Figure 1: The thickness of back fat in the transit phase could be increased by DairySafe.
Figure 2: The content of β-Hydroxybutyric acid in blood (BHB) could be reduced.
DairySafe is a special mixture for cows:
DairySafe is a special mixture for cows: