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doi: 10.1080/09687637.2020.1865273 27 MachoJMudrakJSlepickaP

Dysbiosis during this transition underlies elevated ketosis risk: the decline of VFA-producing taxaincluding Ruminococcus , Prevotella , Selenomonas , and Succinivibrionaceaeimpairs propionate fermentation pathways and reduces gluconeogenic precursor supply, while the concurrent expansion of opportunistic taxa such as Mycoplasma and Saccharimonas further destabilizes ruminal homeostasis (Table 2), collectively contributing to hypoglycemia, excessive mobilization of body fat, and ketone accumulation, which compromise lactation, reproductive performance, and offspring health 47,55,56,57

Always consult a healthcare professional before starting or stopping any medication

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Additionally, avoid areas that are currently sunburned, contain active skin conditions, or are too close to bones and joints