Nutritional deficiencies, imbalances or erratic management of feeding programs for dairy cows can create various types of health problems generally referred as metabolic diseases. High producing lactating cows are the most susceptible to metabolic diseases during the periparturient period. During this period the animal is tremendously challenged to maintain calcium homeostasis because of physiological and pathological factors. Milk fever is an important metabolic disorder of dairy cattle around the time of calving. Several factors have been consistently associated with increased incidence of milk fever, including parturition and initiation of lactation, advancing age, breed, and diet . | An update on milk fever and its economic consequences