Published:
October 29, 2025
Last updated:
October 29, 2025
6
min read

Ketosis in Cattle: Symptoms, Causes & Prevention

Ketosis in cattle is a common metabolic disorder that affects cows. It occurs when a cow's energy demands exceed what she can obtain from her diet, causing her body to break down fat for fuel and release excessive ketone bodies into the bloodstream. 

If left unmanaged, ketosis can cause weight loss, reduced feed intake, lower productivity, and fertility problems. Spotting the signs early and taking timely action is key to keeping your cattle healthy and ensuring the long-term well-being and profitability of your herd.

What is Ketosis in Cattle?

Ketosis is a metabolic disorder that occurs when a cow's energy requirements exceed what the cow can obtain from their diet. This causes the cow's body to break down fat for energy and release ketone bodies into the bloodstream. 

It may occur in dairy cows during early lactation, when milk production sharply increases energy demands, and in beef cows, it usually happens late in pregnancy, in the last 6–8 weeks before calving, because the growing calf uses a lot of energy from the mother.

Calculate your animal's gestation stage with our Cattle Gestation Calculator to plan feeding and care.

Causes of Ketosis in Cattle

Ketosis develops when a cow's energy needs exceed the energy she receives from her feed, forcing her body to use stored fat as a source of fuel. This fat breakdown produces ketone bodies, which, in excess, lead to ketosis.

Common causes include:

Symptoms of Ketosis in Cattle

Ketosis can develop gradually, and its signs are often easy to miss in the early stages. The common symptoms include:

Not sure if your cow is pregnant? Check out our guide to Cattle Pregnancy Signs.

Detecting Early Ketosis in Cattle

Early detection is key to minimizing losses and preventing the condition from progressing. Farmers can watch for:

Keeping a close eye on feed intake, milk production, and body condition during these times helps catch ketosis before it becomes severe.

Diagnosing Ketosis in Cattle

Once early signs are noticed, a proper diagnosis confirms the condition and guides treatment. Ketosis is diagnosed by testing for ketone levels in body fluids such as:

In addition to testing, a vet may evaluate the cow's feeding history, recent calving records, and body condition score to understand the underlying cause and risk factors.

Treatment for Ketosis in Cattle

Treatment aims to restore the cow's energy balance and reduce ketone production as quickly as possible. The common treatment steps include:

Prevention of Ketosis in Cattle

Preventing ketosis is far more effective and economical than treating it after it occurs. The key is maintaining a proper energy balance, particularly during high-risk stages like early lactation in dairy cows and late pregnancy in beef cows.

Balanced Nutrition

Body Condition Management

Smooth Dietary Transitions

Introduce lactation or higher-energy diets gradually before calving to prepare the rumen for post-calving demands.

Feed Accessibility

Ensure all cows, especially submissive ones, have easy access to feed and water to prevent reduced intake.

Vitamin and Mineral Supplementation

Monitor High-Risk Animals

Reduce Stress

Maintain a calm environment and minimize handling or overcrowding, especially around calving time.

Read our Cattle Breeding Methods for herd planning tips to lower metabolic disorder risk.

Impact of Ketosis in Cattle on Offspring and Herd Productivity

Ketosis doesn't just affect the individual cow; it can have lasting effects on the calves, the reproductive performance of the cow, and the overall productivity of the herd.

Impact on Offspring

Impact on Herd Productivity

Overall Performance Decline: When multiple cows are affected, herd efficiency, reproductive performance, and milk or meat output can all suffer.

How Ketosis in Cattle Differs in First Pregnancy vs. Multiple Pregnancies

Aspect First-Time Pregnancy (Heifers) Multiple Pregnancies (Older Cows)
Risk Level Generally, a lower risk of ketosis Higher risk of ketosis
Reason for Risk Lower milk production and energy demand Greater milk yield potential and higher metabolic strain
Body Condition Usually leaner and less prone to fat mobilization More likely to be overconditioned (fatter) before calving
Feed Intake May eat less due to inexperience or calving stress Often reduced appetite post-calving despite higher energy needs
Metabolic Demand Moderate; mainly supports growth and calving High; supports milk production and recovery from previous lactations
Genetic/Physiological Factors Developing metabolism; less wear on the liver and energy systems Accumulated metabolic stress, potential genetic predisposition to ketosis
Typical Onset Occasional cases in poor nutritional or stressful conditions Commonly seen in early lactation, especially within 2–6 weeks after calving
Recovery Usually responds well to early intervention May require more intensive treatment and longer recovery time

Similarities

Differences

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FAQs

What is ketosis in cattle?

Ketosis is a metabolic disorder that occurs when a cow's energy requirements exceed what the cow can obtain from their diet. This causes the cow's body to break down fat for energy and release ketone bodies into the bloodstream. 

What causes ketosis in pregnant cattle?

Ketosis in pregnant cattle is mainly caused by an energy imbalance when the cow's nutritional intake doesn't meet the high energy demands of late pregnancy. This often happens when feed quality is poor, intake drops, or the cow is overconditioned. As a result, her body breaks down fat for energy, leading to an excess buildup of ketones in the bloodstream.

What are the common symptoms of pregnancy toxemia in cattle?

Pregnancy toxemia in cattle often appears in late gestation and is marked by loss of appetite, weakness, weight loss, dullness, and difficulty standing. Severely affected cows may become depressed, uncoordinated, or unable to rise, and in advanced cases, may experience stillbirth or death.

How can you prevent pregnancy toxemia in cattle?

Prevention focuses on proper nutrition and management. Provide energy-rich feed during late pregnancy, avoid over-conditioning cows, ensure consistent feed intake, and reduce stress. Regularly monitor body condition and adjust rations to meet rising energy needs as calving approaches.

Is pregnancy toxemia the same as ketosis?

Pregnancy toxemia and ketosis are related metabolic disorders, both caused by an energy deficit leading to excess fat breakdown and ketone buildup. However, pregnancy toxemia is a metabolic disorder in pregnant cattle that occurs before calving, usually in late gestation, while ketosis typically develops after calving, especially in high-producing dairy cows.

What are the early signs of ketosis in cattle?

Early signs include reduced appetite, a sudden drop in milk yield, weight loss, lethargy, and sometimes a sweet or fruity odor on the cow's breath or milk. Detecting these symptoms early allows for timely treatment and prevents severe health or production losses.