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Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets [email protected] Michael O Connor O Connor Julian Vets [email protected]

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Page 1: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Fertility + Nutrition Farm Visit Protocols

Donal MurphySliabh Luachra Vets

[email protected] O Connor

O Connor Julian [email protected]

Page 2: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Fertility Visits Protocols

• How many visits per year?• What we can do at each visit?• How can we incorporate nutritional work with

the fertility visit?• Definite link between fertility and nutrition.

Page 3: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Ideal fertility visit scenario.

• Pre-breeding scan• End of year herd pregnancy scan• Ideally 2 scan visits in between

Page 4: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Nutritional Visits

• Dry cow visit• Spring visit around peak calving• Late spring / early summer• Late summer / early autumn visit• Corresponding to the different diet types cow

is subjected to i.e. dry cow diet, transition cow diet, lush spring grass and later summer pasture.

Page 5: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Nutritional Visits

• This doesn’t have to be a call out per se• Could be done at other visits to farm e.g. fertility

visit, call out to sick cow, lameness etc• You can often relate “sickness” issues to

nutritional issues e.g. high incidence of milk fever, RFM, lameness, LDA.

• Get talking to farmer about nutrition• All farms are visited at least once per year for TB

test – use this opportunity to discuss BCS etc

Page 6: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Combining the fertility and nutrition

At pre-breeding scan can assess early pasture nutrition

Post -breeding scans -- early summer dietEnd of year pregnancy scans – autumn/winter

diet Separate nutrition visits may be necessaryCan also be done while on other business on

farm

Page 7: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Autumn Calving Herds

• Calendar of events not as clear cut but same basic principles apply

• Similarly with mixed spring/autumn calving herds

• We will give general outline of what can be assessed at the different times of year.

Page 8: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Fertility visits – (1) Pre-breeding

• Cows to check• All cows calved > 40 days and not observed

bulling• Cows passing “dirt” “whites” etc• Cows that had difficult calvings• Any other problem cows• In non seasonal herds cows bred > 30 days

Page 9: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Scanning cows - no heat observed

• Check both ovaries, for CLs and Follicles• Check uterus looking at myometrium,

endometrium and lumen• Record your findings• Is cow cyclic? Is there a CL?• Is cow anoestrus?• Or has she just not been seen bulling?

Page 10: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Anoestrus Cows

• 4 types• Type 1. Small inactive ovaries with very small

follicles (< 8mm) Deviation has not occurred.• Type 2. Follicles > 10mm but < 12mm.

Deviation has occurred with subsequent growth of follicles but then they become atretic.

Page 11: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Anoestrus Cows

• Type 3. Follicular deviation and growth has occurred but not enough surge of LH to cause ovulation, so follicle continues to grow and becomes cystic.

• In types 1, 2 and 3 there is no CL present• Type 4. Persistent CL present with

endometritis. Uterus not producing enough PGF2α to lyse CL

Page 12: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Anoestrus Cows - Treatments

• Anoestrus Types 1,2,3 – Cidr/PG • Anoestrus Type 4 – PG

• See later for regimes.

Page 13: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Cows cyclic but no heat detected

• CL present. • Scan both ovaries and uterus• Attempt to identify stage of cycle using uterus

characteristics and follicular maps• This will aid in successful treatments• Prooestrus, oestrus, metaoestrus and

dioestrus

Page 14: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Stage of cycle

• Oestrus: Lasts approx.1 day. Fluid with specular reflection in lumen. Contracted myometrium. Increased thickness of endometrium. Graf follicle or ovulated follicle.

• Metaoestrus: 4-5 days. Some fluid in lumen. Thickened endometrium. CL visible from 24-36 hrs. Growing wave of follicles with dominant follicle close to 10mm by 72hrs. Deviation at day 4 when follicle is 8-10mm.

Page 15: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Stage of cycle

• Dioestrus: 10-11 days. One or more CLs present. Follicles of different sizes, growing and atretic 1st wave follicles and growing 2nd wave follicles. Myometrium and endometrium equal size. No fluid in lumen unless pathological.

Page 16: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Stage of cycle

• Prooestrus: 4-5 days. CL present. Graf follicle of 2nd wave up to 16-20mm. This will ovulate. Dom foll of 1st wave still visible. Endometrium beginning to thicken and some fluid in lumen.

• Should be able to tell farmer that this cow will soon be in heat. Always impresses them!

Page 17: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Recording Scan Findings Sliabh Luachra Veterinary Centre

Anoestrus Ultrasound Scan Record

Herd owner:Veterinary Surgeon:Date:

• • • • • • • • • • • • • • • • • • • • • • • •

Tag No. DIM Left Ovary Right Ovary Uterus Treatment

Page 18: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Recording Scan Findings

• Simple recording language• Ovary : C10 = CL of 10mm, CC12= Cavitary CL

of 12mm: F8 = Follicle 8mm, F16= Follicle 16mm e.g. Left ovary -C9 F12- i.e. Left ovary has 9mm CL and 12mm Follicle

• Uterus: P,O,M,D i.e. Uterus has Proestrus, Oestrus, Metaoestrus or Dioestrus characteristics. Endo = Endometritis, Preg = Pregnant, Pyo = Pyometra etc

Page 19: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Treatments for non heat detected

• Can use PG in presence of CL >10mm and follicle > 10mm.

• To work with GnRH need follicle >10mm.• Speed at which PG induces heat depends on

size of follicles e.g. At day 7 with DF of 12mm heat induced in 48hrs. At day 5 with DF of 8mm - heat in 5 days. Similarly in 2nd wave at day 12 (DF 8 -10mm) heat in 4-5 days and day 18 get heat in 24 hrs.

Page 20: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Treatments for non detected heats

• However at days 10- 11 of 2 foll wave cows even though there is a lovely CL she will not come in heat. This is because the dom foll of the 1st wave is atretic, and thus non responsive to the GnRH released as a result of the lysis of the CL, and the follicles of the 2nd wave are not yet big enough to respond to the GnRH.

• To overcome this repeat PG after 10 days

Page 21: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Treatments for non detected heats

• Cidr/ PG will also work but PG on its own much cheaper.

• Predicting the timing of heat from PG inj. by assessing the follicular maps will also impress farmer, and if you think that cow may be day 10-11 (i.e. Non responsive to PG) you could give the PG injection to farmer to admin in a few days time when the follicles should be sufficient size

Page 22: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Fertility Treatments

• Even though its a hassle at times, it is better to take out the scanner and scan the cows always before administering fertility treatments on farm

• XL Vets --- Excellence in practice!

Page 23: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Dirty Cows

• Normal to see discharge up to 2 weeks• Check post 20 days.• Classification: Day 0-20 its systemic or clinical

metritis, post day 20 it is endometritis.• Can be purulent or mucopurulent• Cervix closed or open• CL may or not be present

Page 24: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Dirty Cows

• On scan, cows with endometritis usually have thickened endometrium (>8mm) and lumen of > 3mm. White echogenic material in lumen which always corresponds to contour of uterine lumen a/o to the specular reflection of lumen of cow in heat. Shadows maybe present. May see endometritis in a cow in oestrus.

Page 25: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Treatment of dirty cows• Do nothing until after Voluntary Waiting

Period i.e. day 40-45• Most cows clean themselves• Internationally accepted that flushing or

washing out cows pre day 44-45 is not good.• If CL present can use PG but if used circa day

21 it alters the follicular dynamics and reduces subsequent C.R.

• Delaying treatment by 20 days increases CR

Page 26: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Treatment of dirty cows

• Post day 40- 45. If CL present use PG +/- Metricure. Lutalyse, Enzoprost and Dinolytic are natural PGs and may induce stronger myometrial contractions than others.

• Post day 40-45 with no CL -use Metricure• Pyometra, can try 3 shots of PG 10 days apart.• In cows “dirty” at insemination, use Metricure

12-24 hrs later. Increases CR.

Page 27: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Exam. of other problem cows

• Cows post prolapse, dystocia, RFM etc • With these what you are checking is the

degree of uterine involution • If there is evidence of cotyledons still present

at day 14 – delayed involution is present.• What to do? PG will not help follicular

dynamics, so best to wait and monitor at next scan.

Page 28: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Ovarian Cystic Disease

• Various definitions. Follicle with diameter > 20mm, wall thickness < 3mm, persisting >10 days

• 6% nymphomaniac. 94% anoestrus.• Totally over diagnosed by non scanning

colleagues!• 30% of cows with OCD also have a CL

Page 29: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

OCD -Treatments

• If CL also present use PG• If no CL (Type 3 anoestrus) use Cidr/PG• Never manually rupture

Page 30: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Pre-breeding visit- other factors

• While scanning check BCS. Importance cannot be over-emphasised. See nutrition checks later.

• Heat detection aids• Health and fertility of bull (Scan and feel his

testicles) Observe his feet and locomotion• Look for signs of mounting in cows not

observed in heat

Page 31: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

2nd and 3rd Scanning Visits

• With these you are checking for pregnancy post day 30.

• On next visit checking that pregnancy is maintained

• Foetal Sexing• Twins• Signs of Early Embryonic Death• Repeat breeders• In later calvers, a prebreeding scan

Page 32: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Pregnancy

• Don't just look for the “Black Hole”• Check both ovaries for one or more CLs• Check entire uterus• Pregnancy visible post day 26 – 30• Will commonly find pregnancy in cow not

observed bulling• From 25-45 days foetal length mm + 18 =

foetal age in days

Page 33: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Foetal Sexing

• From day 55 – 90 in dairy breeds and up to day 110 in beef breeds (smaller foetus)

• After that depth of pregnancy and foetal orientation make it difficult

• Genital Tubercle (GT) starts to migrate from position between back limbs at day 45 and is completed by day 55 (earlier in female)

• Appears as highly echogenic bright bilobed structure

Page 34: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Foetal Sexing

• Ends up behind umbilicus in male and under tail in female

• Becomes trilobed in male at day 75.• Less echogenic after day 90

Page 35: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Foetal Sexing

• Find embryo• Is it healthy? Heartbeat?• Look for head –tail orientation.• Find umbilicus• Look for GT either behind umbilicus or in front

of tail

Page 36: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Foetal Sexing – Beware!

• Foetus changes position every 10-12 seconds.• Female more difficult• Mistaking female for male when tail is tucked

between legs and tip of tail is waving in front of umbilicus

• Coccygeal vertebrae for female GT• Umbilicus for male GT

Page 37: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Twins

• Increasing prevalence because of co dominance of follicles

• Ideal time days 30-60 with linear scanner• Up to 3-4 months with sector scanner• 15% of cows with twins will lose one • 18% of cows with twins will lose both

Page 38: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Twins• Always check both ovaries for CLs. There may be

2 CLs on one ovary• If 2 CLs present carefully check both horns for

twins• Look for twin-line – fused adjacent chorio-

allantoic membranes. Looks like a white floating line

• Record findings and recheck at next visit• If male twin dies post day 30 and female survives

she may be freemartin even though only one calf is born!

Page 39: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Early Embryonic Death

• Can be recognised by ultrasound• Up to day 42 = embryonic death. Post day 42 =

foetal death• Can diagnose it without knowing the

aetiological agent.• Moorepark BVD outbreak flagged by high EED

levels seen at post breeding scan

Page 40: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Embryonic Death

• 11%of pregnancies between day 28-42 die• 6% from day 42-56 and 2% from day 56-98• Good setup needed• Quiet cow • Patient Vet

Page 41: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

E.E.D -- Diagnosis

• Heartbeat• Altered echogenicity of amniotic- allantoic

liquids• Amniotic membrane rupture• Chorio-allantoic membrane separation • Oedema of endometrium • Absence of embryo• Embryo size

Page 42: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

E.E.D --- Diagnosis

• May need to scan on successive days as its a dynamic process. Will lead to further visits

• Heartbeat slows down. You shouldn’t normally be able to count the foetal heartbeat.

• Membrane fluids become less clear and the embryo is less visible in the fluid which is becoming cloudier.

• Rupture of the amniotic membrane can result in the embryo being partly in amnion and partly in allantoic membrane.

Page 43: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

E.E.D --Diagnosis

• The chorio-allantoic membrane may lift off the endometrium, with haemorrhage in between. This haemorrhage has the echogenicity of a CL.

• Absence of an embryo or an embryo that is much smaller than it should be if AI date is known.

Page 44: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

E.E.D – What to do?

• If sure that embryo is in trouble use PG quickly• CR at next heat is very good• If you abort at a later date, may have to leave

the first heat go and to breed at the next heat.• Increased echogenicity in the membrane

fluids is normal post day 100--- don’t use PG!!

Page 45: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Repeat Breeders

• Can be physiological (normal), Infectious or nutritional (NEB exacerbated by high Rumen Degradable Protein) or Trace Element related

• Can also be due to infertile/ subfertile bull• May see some endometritis type signs on scan

Page 46: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Repeat Breeders --Treatments• GnRH or Chorulon (Holding Injections) at, or few hours pre

AI• GnRH at day 5or day 11 post AI. This is to luteinize follicles

to get them to produce extra P4 to help maintain the pregnancy

• Re- inserting a Cidr at day 4 for 10 days. Same logic as above. Seems to work well late in season (Low P4 producing cows?)

• eCG at day 5 post insem. 200-400 units (can use higher dose in sucklers). Develops accessory CLs to maintain the pregnancy.

• Repeats with uterine “dirt” – Metricure 12 -24 hrs post service

Page 47: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Herd Pregnancy Scan

• Usually carried out Sept onwards• Quicker than fertility scans• Linear scanner limited if pregnancy > 4 months• Sector scanner more suitable• You are feeling as well as looking• 6.5 month pregnancy you may not see or feel!• Timing pregnancy from size of cotyledons?• Fremitus

Page 48: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Synchronisation ProgrammesMy favoured regime --- Dairy

• Day 0-- 2.5 ccs Receptal and Cidr insertion• Day 7 – PG• Day 8 – Remove Cidr• 36 hours later – 2.5cc Receptal• 18 hours later- Fixed time AI • Or -- AI at observed heat

Page 49: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Synchronisation Programmes My Favoured Regime – Beef suckler

• Day 0 – 2.5ccs Receptal and Cidr insertion• Day 8 – PG• Day 9 – Remove Cidr• 48 and 72 Hours later – AI • May use GnRH or eCG at removal• eCG will stimulate DF growth and Estradiol

production, GnRH will only ovulate pre -ovulatory DF

Page 50: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Ovsynch Protocol

• Day 0 –2.5 ccs Receptal• Day 7 – 2ml Estrumate• Day 9– 2.5ml Receptal• 16- 24 hrs later – fixed time AI

Page 51: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Hormone Protocol Variations- NEB Cows

• In cows suffering from Negative Energy Balance• NEB negatively impacts on the LH surge needed

for ovulation• By increasing the Estrumate dose to 3ccs in both

the Ovsynch and Cidr/Pg programmes, there is a more rapid decline in circulating P4 levels resulting in a better LH pulse. This results in a bigger faster growing Dom Fol. The Receptal dose required to ovulate this can then be reduced from 2.5 to 1cc

Page 52: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Hormone Protocol Variations – Low BCS cows

• Cows with BCS of 2.25 or less• Leave the Cidr in for 2 days longer i.e. 9 – 10 days.

You must accept that the CR will be lower at the induced heat because the oocyte is older, BUT the cow now becomes cyclic and these cows will have a CR of > 50% in the subsequent oestrus.

• OR also in low BCS cows, leave the Cidr in for the normal length and use the PG as per normal, but 1 day after removal admin 200-400 IU of eCG (Folligon) and inseminate 48 hrs later.

Page 53: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Hormone Treatments – Useful tips

• Cloprostenol (Estrumate) You can half the dose by giving it into the vulva in an insulin syringe. It avoids going to the liver where it is metabolised and gets straight to the ovary

• Cidr can be re-sterilised by soaking in 5% Virkon soln for 12 hours or by autoclaving. Actually there is a higher release of hormone on the 2nd us after autoclaving. They may actually be re-used a 3rd time

Page 54: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Cow Nutrition

• Basically, from her diet the cow needs energy, protein, vitamins and minerals, and free access to water

• If diet is deficient in energy the cow loses BCS• If diet has excess energy the cow gains BCS• Measuring the cow BCS is the most robust

method of evaluating energy status of cow

Page 55: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Nutrition's Influence on Fertility

• Energy Balance Problems – Cows over -conditioned at calving and NEB post calving

• Type of energy fed – glucogenic or fat• Protein problems – feeding excess RDP and

insufficient by-pass protein• Major and trace element status• Transition cow management incl. Antioxidant

status

Page 56: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Problems of Energy Balance

• Negative energy balance post calving• NEB pre-calving if BCS is too high• Fatty Liver• Ketosis

Page 57: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Negative Energy Balance

• Most important by far re - fertility• Nature has devised many mechanisms to

prevent cow in NEB getting pregnant• Energy (glucose) is diverted to milk production

and not the ovary• She wants to cater fully for her calf before she

gets pregnant again

Page 58: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Negative Energy Balance• Hormones which control energy metabolism and

reproduction act to:1. Decrease follicle growth2. Prevent ovulation3. Prevent conception4. Prevent implantation5. Cause early embryonic death6. Create follicular memory (short term energy deficit

resulting in lower P4 levels up to 100 days later)• All these reduce cows chances of going in calf i.e.

reduced fertility

Page 59: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Negative Energy Balance

• Major factor determining whether a cow becomes seriously energy deficient or not is Dry Matter Intake and not milk yield!

• Secret of success in improving fertility, milk yield and milk quality is a higher DM intake in early lactation.

• Need to optimise rumen function

Page 60: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring Rumen Function

1. Body Condition Score2. Rumen Fill 3. Dung consistency4. Cudding and dropping of cud5. Monitoring and checking intakes6. Blood and milk metabolites• Steps 1 – 4 can be done at any farm visit• Observation skills

Page 61: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Body Condition Score --Targets

• BCS at drying off– 2.75• BCS at calving –3.0 (90% between 2.75- 3.25)• BCS at breeding -- >2.5• BCS at 150 DIM – 2.75• BCS at 200DIM – 2.75• BCS at 250 DIM –2.75• Important not to lose > 0.5 BCS between

calving and breeding

Page 62: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Rumen Fill

• Assess degree of fill in left paralumbar fossa• Very important in cows in early lactation• If not full, there is a problema. Cow is not getting enough to eatb. Feed isn’t good enoughc. Cows haven’t enough access to feed

Page 63: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Dung Consistency

• Not too loose – lack of fibre, excess protein high Mg

• Not too solid – feed intake too low• Slow handclap sound • Boot imprint • Each evacuation should make imprint on dung

pat• Should support straw standing up straight

Page 64: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Cudding/ Rumination

• 80% of cows not eating should be chewing cud

• At least 50 chews per minute• Good strong chews with some saliva at mouth

edges• If cows are dropping cud – indicative of

acidosis or SARA

Page 65: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

NEB

• Occurs with primary underfeeding and if BCS is too high at calving

• Check feed access factors i.e. access to feed, trough space, cow comfort, rumen fill, locomotion scores, grass allowance, post grazing sward height, overcrowding, group stress, poor silage quality, night feeding, too many cows in pens etc

Page 66: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring NEB pre-calving

1. BCS monitoring2. Calculated energy balance3. Blood metabolites• Calculated energy balance. Is the cow taking in

enough energy? Calculate energy requirements by cow i.e. maintenance, walking indoors or at pasture, and pregnancy reqs. Calculate energy supplied by feed – add up UFL supplied by each component of feed. If reqs > supply --cow is in NEB, and if supply > needs then cow is in PEB and gains BCS.

Page 67: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring NEB pre-calving

• Blood metabolites• Sample 12 cows between 14days + 5 days pre-

calving for NEFA and BHB. • If 2 or more cows have NEFA levels > 0.4

mmol/l suspect NEB• If 2 or more cows have BHB >0.7 mmol/l

suspect NEB

Page 68: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring NEB pre-calving

• To calculate energy balance you must have a silage analysis

• Easy + cheap - €25.00 + Vat. You could do this free for first few farmers to let them know you are interested in this type of work.

• Need analysis that has UFL and PDI i.e. Net Energy system (See later)

Page 69: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring NEB post calving

1. Calculated energy balance2. BCS monitoring As in precalving3. Feed intake factors 4. Blood metabolites5. Milk composition

Page 70: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring NEB post- calving

• Blood metabolites• Sample 12 cows between 3 weeks and 7

weeks calved for NEFA and BHB• If 2 or more cows have NEFA level > 0.7

mmol/l = positive result• If 2 or more cows have BHB level > 1.4 mmol/l

= positive result• Note different cut offs for pre and post

calving—watch Lab results

Page 71: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring NEB post calving

• Milk composition• Look at milk protein and milk fat:protein ratio• Milk protein loosely associated with energy

intake. If > 15% of cows in early lact. have milk protein <3.05% --- suspect NEB

• Energy intake is what increases milk protein, and cows with low milk protein have lower fertility

• Need ICBF milk records

Page 72: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring NEB post calving

• Milk fat:protein ratio• Milk fat rises as cow mobilizes adipose tissue

which occurs in NEB and Ketosis• Divide milk fat by milk protein in cows in early

lactation.• If > 15% have ratio > 1.5 – suspect NEB• (High fat, low protein --- cow is ketotic Low

fat, high protein ---- cow acidotic)

Page 73: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Calcium Status

• Milk fever and subclinical hypocalcaemia negatively effects fertility

• Affects uterine motility, causes dystocia, delays uterine involution, RFM, reduces immune function all of which impacts on fertility

• Important to assess calcium status as part of fertility programme

Page 74: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring Calcium Status

• Cow needs 7.0 -7.3 g/kg DM in diet• Normal blood levels 2.0mmol/l. Blood levels <

1.4mmol/l = Milk Fever. Blood levels >1.4 and <2.0 = Subclinical hypocalcaemia

• Grass and grass silage normally high in Ca• Maize silage low in Ca

Page 75: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring and Preventing Hypocal.

1. Reduce Ca intake pre calving –not feasible in Irish grass based farms.

2. Correct BCS at calving3. Raise dietary Mg to 0.4%DM4. Reduce DCAD. Target -100 to -200meq/kg

DM5. Calcium bolus at calving6. Vitamin D3 analogue

Page 76: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring Hypocalcaemia

• Average silage will supply approx 20g of Mg / day

• Having silage mineral analysis will help (see later)

• Easy to calculate what the dry cow mineral will yield in Mg if fed at recommended rate

• Usually need additional 20g Mg

Page 77: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring Hypocal.

• For manipulation of DCAD need mineral analysis of forage

• (Na + K)-(Cl + S)• Difficult to do if dietary K is > 1.8%• Reducing the DCAD has linear reduction in

Hypocal even if target is not reached• DCAD drenches available (MayoHealthCare)

Also granules to add to silage

Page 78: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring Hypocal.• Calcium bolus at calving reduces MF but cow can

relapse into subclinical Hypocal and stay there for 10 days

• Bloods: cows 12-24 hrs calved should have levels of at least 2 mmol/l

• Mg levels in 24 hrs precalving should be > 0.8mmol/l

• If using DCAD. Dietary Ca intake should be 1.0-1.2% of DM, Dietary K < 1.8%, and after DCAD urinary pH should be 6.2-6.8, 3-14 days into usage

Page 79: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Minerals and Trace Elements• Phosphorous and fertility?• Cu, Se, I, (Mo)• Copper. Primary deficiency rare (Herbage < 10mg/kg).

Secondary def. more common. Interactions with S. Mo, Fe

• Copper absorption most reduced at Cu:Mo ratios of 1:1

• Danger if Cu:Mo ratio of 1:1 to 1:3 or if Mo levels > 15mg/ kg DM

• Danger if Fe concs. > 250mg/kg DM or if Fe:Cu is > 100:1 or even if Fe:Cu is 100:1 to 50:1

• Danger if S >2mg/kg DM

Page 80: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Trace Elements

• Can have direct or indirect effect on fertility• Direct effect occurs at time of breeding e.g.

Influence of copper on LH surge etc.• Indirect effect occurs during dry period when

follicle development begins.• Important to have trace element status

correct during dry period.

Page 81: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring Trace Elements

• Easy to estimate the trace element intake if you have silage mineral analysis

• Easy to calculate the intake from bagged minerals if added at the recommended rates

• Compare to recommended feeding level• Confirm animal status by blood tests / liver

biopsy

Page 82: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Minerals and Trace Elements

• Selenium. Important role as anti oxidant• Feeding levels of 3-5mg/kg DM /day• Iodine levels of 12-60mg/kg DM • Cobalt levels of 5-10mg/kg DM• Many cattle in Ireland would be deficient in I

and Se if reliant on herbage alone

Page 83: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Monitoring Trace Elements• Silage/ grass mineral analysis• 10-12 bloods. Either around calving or at start of breeding.

Red top for Copper. Plasma Cu >9.5µmol/l or serum Cu > 7.5µmol/l

• Selenium. Green tops. GSPx >50units/ml PCV• Iodine. Red tops. Plasma Inorganic Iodine (PII). Levels >

105µmol/l plasma• PII measuring very recent Iodine uptake• GSPx a measure of intake up to 6 weeks ago• Liver biopsy better for Cu levels. Ref range 0.6-2.5 mmol/kg

wet matter.• Milk mineral levels not at all reliable

Page 84: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com
Page 85: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com
Page 86: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com
Page 87: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com
Page 88: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com
Page 89: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com
Page 90: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com
Page 91: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Protein feeding and Fertility

• Basically 2 types of protein fed to cows1. Rumen degradable protein, which is mainly converted

to ammonia in rumen. Feeding extra RDP to a cow in NEB has very negative effect on fertility. Rise in levels of ammonia, amines and urea. All toxic to cow in NEB post calving. Cow can’t cope with CP > 18%.

2. PDI which is made up of rumen bugs and rumen bypass protein. Feeding extra PDI drives milk yield but doesn’t help fertility

• Is it better to feed high CP and rise milk yield or to feed lower CP and get the cows in calf?

Page 92: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Type of Energy Fed

• Glucogenic (starch) diets will lead to increase in insulin which helps fertility especially if fed in early lactation.

• Fat diets are high in energy but they drive milk yield more than fertility. Omega3 Fatty Acids may help fertility.

• Bottom line is that there is only a net gain in fertility due to extra energy fed ONLY if cows are in NEB. Cows whose energy balance is ok i.e. Cows which are getting enough energy from the diet or cows of low output do not benefit, fertility wise, from extra energy fed.

Page 93: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Transition Cow • 3 weeks pre to 3 weeks post calving• Vulnerable period for cow. Immune competence reduced.

Endocrine changes.• Nutritional factors to be noted1. Rise in energy demands by foetus and milk with reduced

feed intake2. Dramatic increase in Ca demand3. Dietary change when let out to pasture. Increases VFA

production –risk of SARA and acidosis4. Lack of rumen fill –LDA5. Increased antioxidant needs – reduced immune function6. Group changes – bullying and pecking order

Page 94: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Laboratories

• Silage and grass for quality: FBA Laboratories, Industrial Estate, Cappoquin, Co. Waterford. Tel. 058 52861 Cost €25.00 + vat.

• Forage minerals: Thomson + Joseph Limited, T & J House, 119 Plumstead Road, Norwich, Norfolk, UK NRI 4JT Tel. 00 44 1603 439 511 Cost £22.00. No vat.

Page 95: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Laboratories• Postage of silage samples, within Ireland approx. €6.50 if

parcel size. Cheaper if packet size. Not difficult to make silage sample into packet size .

• Parcel post to UK approx. €18.50. Again cheaper if packet size.

• Mastiplan or Cobactan boxes ideal for posting approx 0.5kg of silage.

• Turnaround time approx. 2 weeks• An Post regulations Jan 2010 –”Packet” combined length,

width and height not to exceed 600mm, and not to weigh > 2kg. Mastiplan box is 230*102*115 and easily carries 0.5kg of silage.

• 2 samples recently posted cost total of €8.70 in post.

Page 96: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Laboratories

• Iodine PII ; Agri-Food and Biosciences Ltd., Veterinary Science Division, Stoney Road, Stormont, Belfast, BT4 35D Tel 048 9052 5649 Cost £7.00 per sample

• NEFA Backweston only. Regional labs will forward samples to Backweston if requested.

• All others: Regional Vet Labs, Riverview• Hand held unit for BHB and Glucose. Available

from Acravet or Mayo Healthcare

Page 97: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Example of Cost of Nutrition Audit

Recent Nutritional Audit carried out for dairy client.

Samples taken• Maize silage and grass silage for Quality and

Minerals• 20 bloods for NEFA, BHB, Ca, Mg, P, Cu, • 10 bloods for Pii and GSPx

Page 98: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Cost of Nutrition Audit

• Maize silage and Grass silage for quality = 2 x €25 = €50 + Vat = €60.50

• Maize/grass silage minerals = 2 x £22 = £44 = €52.50

• 20 x BHB = €25, 20 x NEFA= €25, 20 x Ca = €25, 20 x Mg = €25, 20 x Cu = €25,20 x P = €25

• 10 x Pii = £70 = €83.40• 10 x GPSx = €12.50• TOTAL = €358.90 + Postage !

Page 99: Fertility + Nutrition Farm Visit Protocols Donal Murphy Sliabh Luachra Vets sliabhluachravets@eircom.net Michael O Connor O Connor Julian Vets oconnorjulianvets@hotmail.com

Thanks to .....

• Finbar Mulligan UCD• Des Rice • Giovanni Gnemmi

The fertility and scanning gurus......