“…Hematological and serum biochemical parameters are widely used to evaluate and monitor health, and these parameters have been demonstrated to be associated with ketosis. For example, cows with severe ketosis displayed higher hematocrit and hemoglobin values, while mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and red cell distribution width (RDW) did not differ between non-ketotic and ketotic cows 13 ; in addition, cows with ketosis had significantly lower white blood cell (WBC), neutrophil, and eosinophil counts than those without ketosis 14 , and impaired white blood cell functions were associated with ketosis in dairy cows 15 ; moreover, cows with ketosis showed increased non-esterified fatty acids (NEFA), aspartate aminotransferase, and total bilirubin (TB) and decreased levels of glucose, blood urea nitrogen (BUN), total protein, albumin (ALB), and triglyceride (TG) 2 , 16 – 21 ; furthermore, concentrations of minerals, such as calcium, phosphorus, copper, and zinc, were associated with ketosis as well 22 – 24 . However, to the best of our knowledge, no previous studies have reported the association of ketosis during the postpartum transition period with hematological and serum biochemical parameters on the calving date.…”