Q. Our fresh cows are getting ketosis 10 days after freshening. Also lack of appetite. At the time of freshening cows are given a tube of calcium and ketogel. Upon finding they have ketosis we drench them with PG/200cc once daily for 4 days.

A.
The key is to get or keep these cows eating. Low intake leads to ketosis. Anyway to simulate feed intake will be a plus (added flake of 180 relative feed value forage), top dress 2 or 3 pounds of roasted soybeans, adding liquid molasses to enhance palability, add yeast culture, feed 2 or 3 pounds of sticky calf starter, or any other tricks of the trade.

Source: Mike Hutjens, Extension Dairy Specialist, University of IL