Bovine Postparturient Paresis - contd.

Prognosis
The prognosis is excellent if cows are treated early and properly. As the symptoms worsen so does the prognosis. Cows down for more than 48 hours may develop muscle inflammation and never be able to stand. Relapse is relatively common unless longer acting supplements are added to the treatment plan. Older cows and cows displaying signs prior to calving have the highest risk for relapse.