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1 Department of Animal Sciences,
2 Department of Veterinary Clinical Medicine, and
3 Department of Crop Sciences, University of Illinois, Urbana 61801
Corresponding author: J. K. Drackley; e-mail: drackley{at}uiuc.edu.
| ABSTRACT |
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Key Words: prepartum intake ketosis periparturient disorder periparturient cow
Abbreviation key: AP = alkaline phosphatase, AST = aspartate aminotransferase, GGT = gamma glutamyl transferase, KI = ketosis induction, PD = periparturient disorder, PDC = periparturient disorder control, RI = restricted intake, SDH = sorbitol dehydrogenase.
| INTRODUCTION |
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Douglas (2002) fed diets that were either high in non-structural carbohydrates or high in fat during the entire dry period. Groups of cows consumed each diet either for ad libitum intake or in amounts restricted to provide 80% of calculated NEL requirement. During the prepartum period, restricted-fed cows, regardless of diet, had lower concentrations of glucose and insulin and higher concentrations of NEFA in plasma. Postpartum concentrations of total lipid and triacylglycerol in liver were approximately 50% of those in cows that were fed for ad libitum DMI during the dry period. Based on research by Douglas (2002), we speculated that cows that were feed-restricted during the dry period would be more resistant to development of ketosis after parturition. As a first step in testing this hypothesis, the objective of this study was to evaluate the effects of prepartum intake, postpartum health, and postpartum induction of ketosis on the metabolic status of multiparous Holstein cows.
| MATERIALS AND METHODS |
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Classification as healthy or PD was based on a physical examination at 4 DIM, and the same physical examinations were conducted daily from 4 to 14 DIM to monitor health status. The physical examination included evaluation of the following parameters: attitude (alert or depressed); behavior (normal or abnormal); gait and stance (normal or abnormal), ability to rise (normal, with difficulty, or recumbent); rectal temperature (by digital thermometer); urine ketone concentration (by dipstick test; Labstix; Bayer Corporation, Elkhart, IN); respiratory rate (by observation for 30 s); respiratory effort (normal or increased); breath sounds (by auscultation); heart rate and rhythm (by auscultation for 30s); rumen fill (by ballottement); rumen contraction rate (by auscultation for 2 min); abdominal pings (by simultaneous auscultation and percussion); mucous membrane color and capillary refill time (assessed at vulva); odor (none or foul) of vaginal discharge; fetal membranes (present or absent); skin tent duration (on lateral neck); eyeball recession into the orbit; fecal score; subjective evidence of blood in the feces (black feces or fresh blood); withers pinch test (ventroflexion, no ventroflexion, grunting, or no grunting); palpation of peripheral lymph nodes (normal or subjectively enlarged); mammary gland size (normal, large, or small) and consistency (normal, firm, or edematous); viscosity, color, and consistency of mammary secretions; and teat lesions.
Cows were housed in tie stalls throughout the experiment and were allowed to exercise daily in an outside lot for 3 h (0700 to 1000 h). Two weeks before expected parturition, cows were moved to box stalls until parturition. After parturition, cows were returned to tie stalls. Cows were milked twice daily (0300 and 1500 h).
Data Collection, Sampling Procedures, and Analytical Methods
Intake of each cow was measured daily from dry-off to 42 DIM. Samples of feed ingredients and TMR were taken weekly and analyzed for DM content (AOAC, 1995). Weekly samples of individual ingredients were frozen at 20°C and then composited monthly and analyzed for contents of DM, CP, NDF, ADF, Ca, P, Mg, and K by wet chemistry methods (Dairy One, Ithaca, NY).
Body weight and BCS (Wildman et al., 1982) were determined for each cow weekly from dry-off to 42 DIM. Body condition scores were assigned independently by the same 4 individuals at each time of scoring throughout the experiment. The scores of the 4 individuals were averaged at each time of scoring.
Milk weights were recorded daily from 1 to 42 DIM. Milk was sampled from consecutive a.m. and p.m. milkings daily from 5 to 14 DIM and weekly from 15 to 42 DIM. Consecutive a.m and p.m. samples were composited in proportion to milk yield at each sampling and stored with preservative (800 Broad Spectrum Mirotabs II; D&F Control Systems, Inc., San Ramon, CA). Composite samples were analyzed for fat, protein, lactose, urea N, and SCC using mid-infrared procedures (AOAC, 1995) on an automated analyzer (Foss 4000; Foss North America, Eden Prairie, MN) by Dairy Lab Services Inc. (Dubuque, IA). Fatty acid composition of milk fat was determined by preparation of methyl esters of fatty acids (Kelly et al., 1998). The fatty acid methyl esters were separated on a gas chromatograph (GC-17A; Shimadzu Corporation, Kyoto, Japan) equipped with an auto sampler, a flame ionization detector, and a fused silica capillary column (SP-2380, 100 m x 0.25 mm i.d.; Supelco, Bellefonte, PA).
Liver was sampled via puncture biopsy (Hughes, 1962; Veenhuizen et al., 1991) at 0700 h on 65 d (prior to dry-off), 30 d, 15 d, 1 d, at signs of clinical ketosis or 14 d, 28 d, and 42 d relative to parturition. A portion of the liver was frozen immediately in liquid nitrogen and later analyzed for concentrations of total lipid (Hara and Radin, 1978), triacylglycerol (Fletcher, 1968; Foster and Dunn, 1973), and glycogen (Lo et al., 1970).
Blood was sampled from the coccygeal vein or artery weekly from dry-off to 14 d, daily from 14 to 14 d, and weekly from 14 to 42 d relative to parturition. Samples were collected before feeding (1000 h). Blood was collected into evacuated serum tubes (SST; Becton Dickinson Vacutainer Systems, Franklin Lakes, NJ) containing clot activator. Serum was obtained by centrifugation at 1300 x g. Aliquots of serum were frozen at 20°C until later analysis for concentrations of NEFA (Johnson and Peters, 1993), insulin (Coat-a-Count Insulin kit; Diagnostic Products Corporation, Los Angeles, CA) according to Studer et al. (1993), glucose (Glucose/HK kit; Roche Diagnostics Corp., Indianapolis, IN) using the hexokinase-glucose-6-phosphate dehydrogenase reaction (Peterson and Young, 1968), and BHBA (kit number 310-A; Sigma Chemical Co., St. Louis, MO) using procedures of Williamson and Mellanby (1974). Serum samples from d 14, d 4, at signs of clinical ketosis or d 14, d 21, and d 28 relative to parturition were analyzed for enzymes indicative of liver function using an autoanalyzer. These enzymes included alkaline phosphatase (AP), analyzed using a kit (Alkaline Phosphatase IFCC Liquid kit; Roche Diagnostics Corp.) based on the method of Tietz et al. (1983); aspartate aminotransferase (AST), analyzed using a kit (AST kit; Roche Diagnostics Corp.) based on the method of Bergmeyer et al. (1986); gamma glutamyl transferase (GGT), analyzed using a kit (GGT Szasz Liquid kit; Roche Diagnostics Corp.) based on the method of Persijn and van der Slik (1976); and sorbitol dehydrogenase (SDH), analyzed using a kit (SDH kit; Sigma Chemical Co., St. Louis, MO) based on the method of Rose and Henderson (1975).
Calculations
Energy balance was calculated (NRC, 2001) individually for each cow. Net energy intake (NEI; Mcal/d) was determined by multiplying DMI by the calculated mean NEL density of the diet. The NEL value of each individual feed (Dairy One) was used to calculate the mean NEL content of the diet. Dairy One used the Ohio State/NRC summative energy equation (NRC, 2001) for predicting total digestible nutrients at maintenance intake (1x). The NEL at 3x maintenance was predicted from total digestible nutrients according to NRC (2001). The NEL for forages was adjusted by the Van Soest variable discount method (Dairy One).
Net energy required for maintenance (NEM; Mcal/d) was calculated as BW0.75 x 0.08. Pregnancy requirements (NEP; Mcal/d) were calculated as [(0.00318 x day of gestation 0.0352) x (calf birth weight/45)]/0.218. Lactation requirements (NELAC; Mcal/d) were calculated as (0.0929 x fat percent + 0.0563 x protein percent + 0.0395 x lactose percent) x milk yield (kg). The equation used to calculate prepartum energy balance (EBPRE) was EBPRE = NEI (NEM + NEP). The equation used to calculate postpartum energy balance (EBPOST) was EBPOST = NEI (NEM + NELAC). Energy balance was expressed as a percentage of requirement.
Statistical Analyses
Three cows were not included in the postpartum period data sets because one cow had complications associated with surgery for displaced abomasum and was euthanized, one cow had an intestinal volvulus and was euthanized, and one cow was mistakenly allowed ad libitum access to feed during a portion of the KI period. Frequency of health disorders was determined, but no statistical analysis was conducted.
Data from defined portions of the prepartum period (dry-off to parturition; 7 DIM to parturition) and postpartum periods (1 to 4 DIM; 5 DIM to signs of clinical ketosis or 14 DIM; 15 to 42 DIM) were analyzed separately. This approach was used to focus on critical time points for metabolic changes in the cow. For example, changes in DMI and NEFA are most pronounced during the last few days prior to parturition (Grummer, 1995); therefore, we desired to determine responses during the period from 7 DIM to parturition separately from the entire dry period.
Data measured over time (DMI, milk yield and components, BCS, BW, energy balance, and serum components) within the period of interest were subjected to ANOVA by using the REPEATED statement in the MIXED procedure of SAS (Littell et al., 1996; SAS Inst. Inc., Cary, NC; Release 8.2). For each variable analyzed, 4 covariance structures were evaluated: compound symmetry, autoregressive order 1, autoregressive heterogeneous order 1, and unstructured covariance. The covariance structure that resulted in the Akaikes information criterion closest to zero was used (Littell et al., 1996). Data not analyzed over time (BCS change, BW change, liver composition, and serum enzymes) were subjected to ANOVA by using the MIXED procedure of SAS (Littell et al., 1996). The Kenward-Roger degrees of freedom method was used with the MIXED procedure.
Prepartum data were analyzed as a randomized design. The model contained the effects of prepartum intake (ad libitum or RI) and time, when appropriate. Cow was designated as a random effect. Postpartum data before the start of KI (1 to 4 DIM) were analyzed using MIXED procedures with a 2 x 2 factorial arrangement of main effects. The model contained the effects of prepartum intake (ad libitum or RI), postpartum health status (healthy or PD), and the interaction of prepartum intake and postpartum health status. Time was included in the model when appropriate. Cow was designated as a random effect. Prepartum BW and BCS data were adjusted by analysis of covariance using the dry-off value. The number of cows expected to be assigned to the healthy or PD groups within ad libitum and RI prepartum intake groups was expected to be similar. To test that assumption, an odds ratio test was conducted using the LOGISTIC procedure of SAS.
Postpartum data obtained during the KI period (5 DIM to signs of clinical ketosis or 14 DIM) and after return of all cows to ad libitum intake (15 to 42 DIM) were analyzed as an incomplete 2 x 2 x 2 factorial arrangement of main effects (prepartum intake x postpartum health status x KI status) with KI randomized within healthy cows. The model contained the effects of prepartum intake (ad libitum or RI), postpartum health status (healthy or PD), KI status (control, KI, or PDC), interaction of prepartum intake and postpartum health status, and interaction of prepartum intake and KI status.
Least squares means are reported. Significance was declared at P < 0.10. Tukeys procedure for multiple means comparisons was used to separate treatment means for postpartum analyses after 5 DIM (control vs. KI vs. PDC).
| RESULTS AND DISCUSSION |
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During the dry period, ad libitum cows ate more (P < 0.001) than RI cows as planned (Table 2
). The difference in DMI resulted in ad libitum cows that were in positive energy balance (142% of NEL requirement) and RI cows that were in negative energy balance (85% of NEL requirement). Concentrations of glucose and insulin in serum were higher, and serum NEFA were lower, in ad libitum cows than in RI cows (Table 2
). These results are similar to those of Douglas (2002); cows that were allowed ad libitum access to feed during the dry period had higher plasma concentrations of glucose and insulin and a lower concentration of NEFA compared with restricted-fed cows. The difference in energy balance resulted in greater BW gain in ad libitum cows than in RI cows; RI cows actually lost BW during the dry period (Table 2
). Boisclair et al. (1986) found that cows restricted to 70% of their energy requirement during the dry period gained less BW and lost more BCS than did cows fed to requirement. According to research on fetal development (Becker et al., 1950; Bereskin and Touchberry, 1967), BW gain from an increase in weight of fetus, fluids, fetal membranes, and uterus can be 55 to 68 kg for Holstein cows of this BW. Cows in our study probably mobilized maternal tissues to support fetal development (Bell and Ehrhardt, 2000), which is indicated in part by a loss in BCS (Table 2
). Calf birth weight averaged 49.2 ± 2.2 kg and did not differ between ad libitum and RI cows (P = 0.21). Similarly, Douglas (2002) and Tesfa et al. (1999) found no difference in calf birth weight from cows that received diets containing an adequate or deficient amount of energy during the dry period.
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Serum NEFA concentration increased during the last 7 d of gestation, as expected (Vazquez-Añon et al., 1994). Interestingly, serum NEFA concentration increased from 260 to 762 µEq/L (193%) for ad libitum cows and increased from 445 to 633 µEq/L (42%) for RI cows during the last 7 d of gestation (treatment x time interaction, P < 0.001). At 1 DIM, ad libitum cows had more lipid accumulation in the liver than did RI cows (Table 3
). Adipose lipid mobilization leads to increased serum NEFA, increased uptake of NEFA by the liver, and increased triacylglycerol accumulation in the liver (Drackley, 1999). Dyk (1995) found that higher prepartum plasma NEFA concentrations were associated with greater incidences of dystocia, retained placenta, ketosis, displaced abomasum, and mastitis, but not hypocalcemia.
Postpartum Health
Postpartum health data should be interpreted with caution because of the small number of cows used in the study. The frequency of postpartum health disorders was not different (odds ratio = 1.6; P = 0.49) for ad libitum and RI cows (Table 5
). By design, cows assigned to the PD group had more health disorders than cows assigned to the healthy group (Table 5
). Of the 17 PD cows, 16 had a retained placenta (failure to expel the placenta within 24 h of parturition) with some degree of metritis, and one had subclinical ketosis at the physical examination conducted at 4 DIM. Twelve PD cows had subclinical ketosis between 4 and 14 DIM based on a positive urine ketone test, but only 8 PD cows were treated for subclinical ketosis. The PD cows were treated for subclinical ketosis and mastitis more than were healthy cows, as expected.
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The occurrence of retained placenta was high (50%; Table 5
) in this study. The occurrence was similar between ad libitum cows (47%) and RI cows (53%). Factors that have been associated with retained placenta are age, gestation length, number of calves, species, heredity, environment, hormones, immune function, and nutrition (Julien et al., 1976; Laven and Peters, 1996; Kimura et al., 2002). However, the exact cause and mechanism are still unknown. In this study, cows with retained placenta calved 4 d before expected parturition, and cows without retained placenta calved 1 d before expected parturition. Deficiency of Se has been linked to the occurrence of retained placenta in dairy cows (Julien et al., 1976). In serum collected from cows in this study, at 8 d before parturition, Se averaged 61.1 ± 0.7 ng/mL (Animal Health Diagnostic Laboratory, Lansing, MI), which was considered marginally low. However, there was no difference in serum Se concentration between cows with and cows without retained placenta. The reason for the high occurrence of retained placenta in this study is unknown.
Postpartum (1 to 4 DIM)
Prepartum intake did not affect (P > 0.20; Table 6
) postpartum DMI, energy balance, milk production, or serum concentrations of BHBA, glucose, insulin, and NEFA during 1 to 4 DIM. At 1 DIM, ad libitum cows had greater total lipid concentrations in liver than did RI cows (P = 0.02; Table 3
). However, differences in concentrations of triacylglycerol and glycogen in liver at 1 DIM did not reach statistical significance (P > 0.17; Table 3
). Douglas (2002) found that cows that were feed-restricted during the dry period had lower concentrations of total lipid and triacylglycerol in the liver at 1 DIM than cows fed ad libitum during the dry period. In contrast, Tesfa et al. (1999) found no effect of prepartum energy intake on liver total lipid concentration at 1 or 4 wk postpartum. Increased total lipid or triacylglycerol concentrations in liver of periparturient cows have been linked to greater risk for health problems (Bobe et al., 2004); therefore, although the increased total lipid content for ad libitum cows likely was not clinically relevant in itself, the ad libitum group might be more susceptible to encountering other health problems. Concentrations of triacylglycerol usually increase in parallel with those of total lipid (Grum et al., 1996); we have no explanation for the smaller increases in triacylglycerol in this study.
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During the first 4 DIM (Table 6
), PD cows had lower DMI (P = 0.002) and milk yield (P = 0.01) than did healthy cows. Deluyker et al. (1991) reported a 2.4-kg/d decrease in milk yield during the first 5 DIM for cows with a retained placenta. Energy balance and concentrations of serum NEFA and glucose did not differ (P > 0.38) between healthy and PD cows, but serum BHBA was higher (P = 0.08) for PD cows than for healthy cows.
Postpartum (5 DIM to Signs of Clinical Ketosis or 14 DIM)
Prepartum intake had no residual effect on variables during the KI period, except that RI cows had lower contents of fat and protein in milk than did ad libitum cows. Douglas (2002) also observed lower milk fat percentage during the immediate postpartum period in cows that were feed-restricted while dry.
During the KI period, KI cows had an energy balance of 53% of NEL requirement becaue of the imposed feed restriction (Table 7
). In adaptation to this severe negative energy balance, KI cows decreased milk production from ~30 kg at 5 DIM to ~25 kg at 14 DIM. During this same time period, the control and PDC cows increased milk production by ~9 kg. The KI cows mobilized adipose lipid reserves to support the severe negative energy balance and had elevated concentrations of BHBA and NEFA in serum (nearly twice those of control and PDC cows) and had lower concentrations of glucose and insulin. Because of the large flux in serum NEFA, liver total lipid and triacylglycerol concentrations were greater (P < 0.001; Table 3
) in KI cows than in control and PDC cows. However, concentrations of total lipid and triacylglycerol in liver remained lower than those likely to be clinically relevant (Bobe et al., 2004). The concentration of BHBA in urine collected at signs of clinical ketosis or 14 DIM was higher (P = 0.008) in KI cows (92.1 mg/dL) than in control (2.7 mg/dL) or PDC (1.1 mg/dL) cows. Metabolic and production changes associated with KI were consistent with data from other researchers (Gröhn et al., 1983; Veenhuizen et al., 1991; Drackley et al., 1992).
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Milk fat percentage (Table 7
) was higher for KI cows than for control and PDC cows. Cows that underwent KI had lower concentrations of short- and medium-chain fatty acids (C6:0, C8:0, C10:0, C12:0, C14:0) and a higher concentration of C18:1cis-9 than did control and PDC cows (Table 8
). Other researchers have observed similar changes in milk fatty acid profile in starved or ketotic cows (Luick and Smith, 1963; Brumby et al., 1975). Cows in negative energy balance mobilize adipose lipid reserves, and the resulting long-chain fatty acids are incorporated into milk fat (Palmquist et al., 1993). The uptake of large quantities of long-chain fatty acids inhibits de novo synthesis of short-chain and medium-chain fatty acids by the mammary gland (Palmquist et al., 1993).
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The efficacy of the KI protocol to induce clinical ketosis seemed to be lower for this study (4 of 9 cows) compared with an earlier study that used a similar protocol, in which 8 of 10 cows showed signs of clinical ketosis (Bahaa et al., 1997). In that study, Bahaa et al. (1997) restricted feed by 50 or 75%, but incidence or severity of ketosis did not differ between the degrees of feed restriction. Differences between studies may be a function of body condition, negative energy balance, and BW loss of cows during the periparturient period. Bahaa et al. (1997) did not report the BCS of cows used in their study. Cows in our study were not overconditioned (BCS at dry-off = 3.08) and may not have been predisposed to develop ketosis because of less severe negative energy balance and BW loss immediately after parturition. Bahaa et al. (1997) suggested an odds ratio of 1.25, which indicated that the odds of developing clinical ketosis tended to increase by 25% for each additional percentage unit loss of total body energy. Thus, a cow losing 11.9% of total body energy at 5 d postpartum had a 50% chance of developing clinical ketosis (Bahaa et al., 1997).
Drackley et al. (1992) suggested that a liver triacylglycerol to glycogen ratio >1.5 to 2 during early lactation might indicate a greater susceptibility to clinical ketosis and hepatic lipidosis. In our study, KI cows had a triacylglycerol to glycogen ratio at 1 DIM of 2.9 ± 1.3, and there was no difference (P = 0.40) between cows that showed signs of clinical ketosis and those that did not during the KI period. The triacylglycerol to glycogen ratio at 1 DIM does not explain the susceptibility to clinical ketosis in this study. At signs of clinical ketosis or 14 DIM, the triacylglycerol to glycogen ratio was 23.1 and 9.4 (P = 0.15) for KI cows with signs of clinical ketosis and KI cows without signs of clinical ketosis, respectively.
Postpartum (15 to 42 DIM)
During the postpartum period of 15 to 42 DIM, residual effects of prepartum intake did not achieve significance (P > 0.23) for any postpartum variable (Tables 3
and 9
), although milk fat content tended (P = 0.11) to remain lower, and glucose in serum tended (P = 0.11) to be higher, for cows that were previously feed-restricted. Differences among KI status for DMI, energy balance, BW, milk yield, and serum metabolites were nonexistent (P > 0.18; Table 9
) during the period from 15 to 42 DIM. Body condition score was ~0.6 units lower in PD cows than in healthy cows (P < 0.001), and milk yield tended (P = 0.12) to remain lower for PD cows (Table 9
). Liver total lipid and triacylglycerol concentrations decreased, and liver glycogen concentration increased, from 14 to 28 and 42 DIM (Table 3
). Concentrations of total lipid, triacylglycerol, and glycogen in liver were not different (P > 0.10; Table 3
) among KI status groups at 28 and 42 DIM.
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Milk fatty acid composition during wk 3 to 6 of lactation was affected by prepartum intake (Table 10
). The content of C16:0 was higher, and that of C18:0 was lower, for RI cows than for ad libitum cows. Although not statistically significant, most of the other short- and medium-chain fatty acids synthesized de novo within the mammary gland also were slightly higher for RI cows than for ad libitum cows, and most of the long-chain fatty acids transferred to milk fat from blood were slightly lower for RI cows than for ad libitum cows. The physiological significance of these small changes is unclear, but seems to indicate a diversion of long-chain fatty acids elsewhere, perhaps to restoration of body lipid pools. Milk fatty acid composition was not affected during wk 3 to 6 by previous KI status (Table 10
). Stage of lactation had a significant effect on fatty acid composition (Tables 8
and 10
), as expected (Palmquist et al., 1993). The concentrations of short-chain and medium-chain fatty acids increased, and the concentrations of C16:1 and C18:1cis-9 decreased as body lipid mobilization decreased.
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| CONCLUSIONS |
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The utility of the feed restriction model of primary ketosis (Bahaa et al., 1997) was confirmed in this study. In addition, this study showed how the metabolic status of cows differed among cows that were healthy, cows that were ketotic, and cows that had PD (mostly retained placenta). Metabolic alterations in cows with PD in general were much less pronounced than for those in cows with induced ketosis and were not greatly different from healthy cows.
Prepartum intake resulted in changes in serum metabolites consistent with plane of nutrition and energy balance. Prepartum intake had few effects on postpartum intake, serum metabolites, liver composition, or milk yield. Periparturient disorders and induction of ketosis negatively affected metabolic status and milk yield during the first 14 DIM. By 42 DIM, however, negative effects of PD and KI on metabolic status and milk yield could not be detected.
| FOOTNOTES |
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Present address: William H. Miner Agricultural Research Institute, Chazy, NY 12921. ![]()
Received for publication June 18, 2004. Accepted for publication May 19, 2005.
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