Two months on her own reserves carries a price far bigger than the vet bills you see.
The fresh-cow energy gap doesn't just cost you litres in the tank. It runs up six separate bills across her lactation — most never itemised on any invoice. Here they are, on one honest basis: per 1,000 cows, per year.
The invoice the fresh cow can't send you.
One energy deficit, six separate bills. Lost milk is the one line we measure directly. Three more are costed from peer-reviewed research at the lowest published incidence in each case, so the figures lean low on purpose. Two we name and deliberately leave unpriced — not because they are small, but because the study that would price them honestly for a UK herd has not been done. We would like to help do it.
Illustrative, not a prediction. Every line is a separate area of study, costed at the lowest published incidence and converted to sterling. Read any single value — or the sum — as the range of risks a transition cow faces, not as a forecast for your herd. Figures are per 1,000 cows a year, and every source named is one we hold and can send you.
At the high end of the same research
The one line we measure directly has a ceiling as well as a floor. At the 16% upper figure from the same commercial trials, lost milk alone reaches:
Two bills we can name but will not price — and why that matters
Fertility and emissions are real costs of the fresh-cow energy gap. The biology is established and we hold the papers. What does not exist is a study that turns either into a defensible pound figure for a British dairy herd. Rather than borrow a number from a different question, we leave these lines open — and we would like to help close them.
What an extra day open actually costs a UK herd
The only model we hold gives no per-day price to apply. Its daily figures are averages measured against a fixed 60-day baseline, not the cost of one more day; and its cheapest conception points — 113 days in first lactation, 105 in second — are where the cost is at its lowest, not where it turns positive. Under that model’s own 2013 prices the cost stayed negative all the way out to 300 days. Apply a single per-day figure to every herd and you will be wrong in both directions.
What is known: better energy balance in weeks 1–7 goes with fewer days open, fewer services and earlier cycling (Ma et al. 2020). Condition at service is among the strongest predictors of holding to first service (Bedere et al. 2018). Cost curve: Liang, 2013.What better transition health is worth in carbon, in Britain
Danish herd simulation puts the improved-health strategy at a 3.2% cut in emissions per kilogram of milk and 5.0% more gross margin before implementation costs. Turning that into pounds needs a UK herd carbon footprint, a UK carbon price and UK herd structure. We hold none of the three.
What is known: Chen, Thorup & Østergaard, 2026 — ten Danish Holstein herds, cradle-to-farm-gate life-cycle assessment.How common metritis actually is in UK herds
There is no published UK metritis incidence. We use a US national figure and say so on the line. UK data describes endometritis — a different condition, at a different point in the cycle — and multiplying it by a metritis cost would be wrong.
What is known: USDA NAHMS Dairy 2014 — 6.9% nationally, 8.0% on large operations, the herd size we work with.What a case of transition disease costs a UK farm
The per-case costs on this page are Dutch and American, converted to sterling. British labour rates, vet fees, milk price and cull values are all different. A UK costing study would change every disease line here, in one direction or the other.
What is known: Steeneveld et al. 2020 (Netherlands); Liang, 2013 (United States).These are the four studies we would most like to see run — and, as trial numbers and funding allow, to contribute to. A UK transition-cow dataset that priced fertility and carbon properly would sharpen every number on this page, including ours. We would rather help build that evidence than quietly borrow a figure from somewhere it does not belong.
The one line we cost today, in the open
Six bills, one root — and one lever that reaches all of them.
Costed conservatively — and with two of the six bills left unpriced because we will not put a number on the page we cannot source — the fresh-cow energy gap runs to ~£302k+ per 1,000 cows. Most of it is money you are already spending, in six places at once. The reason it matters: if a single lever raises transition-cow intake, it doesn't ease one of these bills. It reaches all six.
The evidence behind this page — 8 sources
Every figure on this page traces to a named page in one of these documents. We hold a copy of each. Where a source contradicts itself, or where a number is ours rather than published, we say so on the line itself rather than here.
- National Academies of Sciences, Engineering, and Medicine (2021) Nutrient Requirements of Dairy Cattle, 8th revised edition. Chapter 3, Energy. National Academies Press, Washington DC · www.ncbi.nlm.nih.gov/books/NBK600603/ — free full text
- Suthar VS, Canelas-Raposo J, Deniz A, Heuwieser W (2013) Prevalence of subclinical ketosis and relationships with postpartum diseases in European dairy cows. Journal of Dairy Science 96(5):2925–2938 · doi.org/10.3168/jds.2012-6035
- Steeneveld W, Amuta P, van Soest FJS, Jorritsma R, Hogeveen H (2020) Estimating the combined costs of clinical and subclinical ketosis in dairy cows. PLoS ONE 15(4):e0230448 · doi.org/10.1371/journal.pone.0230448
- USDA APHIS National Animal Health Monitoring System (2018) Health and Management Practices on U.S. Dairy Operations, 2014. Report 3, #696.0218. United States Department of Agriculture · www.aphis.usda.gov/sites/default/files/dairy — US national data
- Liang D (2013) Estimating the economic losses from diseases and extended days open with a farm-level stochastic model. MSc thesis, University of Kentucky · uknowledge.uky.edu/animalsci_etds/23/ — US model, 2013 prices
- Ma J, van Hoeij RJ, Bruckmaier RM, Kok A, Lam TJGM, Kemp B, van Knegsel ATM (2020) Relationships between energy balance and metabolic and reproductive performance of dairy cows. Animals 10(6):1100 · doi.org/10.3390/ani10061100
- Bedere N, Cutullic E, Delaby L, Garcia-Launay F, Disenhaus C (2018) Meta-analysis of the relationships between reproduction, milk yield and body condition score in dairy cows. Livestock Science 210:73–84 · doi.org/10.1016/j.livsci.2018.01.017
- Chen L, Thorup VM, Østergaard S (2026) Herd management strategies for greenhouse gas emission mitigation in dairy production: a simulation study. Journal of Dairy Science 109(5):5334–5346 · doi.org/10.3168/jds.2025-26699
There is one lever behind all six bills.
See how the wearable neurostimulation device supports fresh-cow intake.