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Audit finds high levels of hidden ketosis
30 per cent of newly calved cows in state of subclinical ketosis

In a recent audit of UK dairy herds, it was found that the prevalence of subclinical or 'hidden' ketosis averaged 30 per cent in newly calved cows. Levels in individual herds varied from 10 to 60 per cent. These cows were not only found to be more likely to develop clinical ketosis, but were also at greater risk of developing other metabolic and reproductive disorders such as retained placenta, displaced abomasum and milk fever.

763 cows from 15 dairy herds were tested in the UK farm audits. Ketosis was determined by measuring beta-hydroxbutyrate (BHBA) levels in the milk of cows which had calved 7 to 21 days previously. Levels were measured using the cow-side diagnostic Keto-Test, and a positive diagnosis was given when BHBA levels exceeded 100mol/litre. The cows were also observed during the first 35 days of lactation, not only to see if clinical ketosis developed, but also to monitor other potential health problems that may arise.

The study was also conducted across four other European countries - Germany, France, Italy and The Netherlands, testing a total of 2,489 cows. The audit revealed that cows testing positive for hidden ketosis were 11.5 times more likely to progress to clinical ketosis. They were also 1.7 times more likely to have a difficult calving, 2.2 times more likely to have had a retained placenta and 1.8 times more likely to have had milk fever.

Other results suggested these animals were 4.5 times more likely to suffer gastrointestinal distress, 2.3 times more likely to get mastitis and 2.7 times more likely to get a displaced abomasum. The audit additionally found a small but significant trend indicating an increased susceptibility to metritis.

Technical consultant for Elanco Mike Steele said: "Clinical ketosis was diagnosed in 1 per cent of cows surveyed in the main audit. This is in line with previous findings. It highlights that whilst clinical cases of ketosis are rare, these cases are just 'the tip of the iceberg' and a much larger number of animals will be experiencing subclinical levels of ketosis.

"These may develop into clinical ketosis and/or other clinical disease, as the survey demonstrated."

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FIVP launches CMA remedies survey

News Story 1
 FIVP has shared a survey, inviting those working in independent practice to share their views on the CMA's proposed remedies.

The Impact Assessment will help inform the group's response to the CMA, as it prepares to submit further evidence to the Inquiry Group. FIVP will also be attending a hearing in November.

Data will be anonymised and used solely for FIVP's response to the CMA. The survey will close on Friday, 31 October 2025. 

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News Shorts
CMA to host webinar exploring provisional decisions

The Competition and Markets Authority (CMA) is to host a webinar for veterinary professionals to explain the details of its provisional decisions, released on 15 October 2025.

The webinar will take place on Wednesday, 29 October 2025 from 1.00pm to 2.00pm.

Officials will discuss the changes which those in practice may need to make if the provisional remedies go ahead. They will also share what happens next with the investigation.

The CMA will be answering questions from the main parties of the investigation, as well as other questions submitted ahead of the webinar.

Attendees can register here before Wednesday, 29 October at 11am. Questions must be submitted before 10am on 27 October.

A recording of the webinar will be accessible after the event.