Milk Lactose and Inflammatory Marker Changes: Early Indicators of Metabolic and Inflammatory Stress in Early Lactation Dairy Cattle

Metabolic and inflammatory stress during early lactation poses significant risks to dairy cow health and productivity. This study aimed to assess the physiological, metabolic, and inflammatory differences between dairy cows producing low (LL; <4.5%) and high (HL; ≥4.5%) milk lactose, focusing on C-reactive protein (CRP), liver function markers, iron metabolism, and reticulorumen health. A total of 71 clinically healthy lactating multiparous cows (20–30 days postpartum) were monitored using real-time physiological sensors, milk composition analysis, blood biomarkers and continuous reticulorumen pH measurement (every 10 min). Cows in the LL group showed significantly higher aspartate transaminase (AST) activity ( p = 0.042), lower serum iron (Fe) concentration ( p = 0.013), and reduced reticulorumen pH ( p = 0.03). Although CRP concentrations did not differ significantly between groups, correlation analysis revealed positive associations with non-esterified fatty acids (NEFA) (r = 0.335, p = 0.043), reticulorumen pH (r = 0.498, p = 0.002), and body temperature (r = 0.372, p = 0.023). Receiver operating characteristic (ROC) analysis identified gamma-glutamyl transferase (GGT) (AUC = 0.66), AST (AUC = 0.63), and NEFA (AUC = 0.58) as moderate predictors of low milk lactose levels. Conversely, Fe (AUC = 0.66) and reticulorumen pH (AUC = 0.64) showed moderate ability to predict higher lactose content. These results support the integration of milk lactose, liver enzymes, and inflammatory biomarkers into precision health monitoring protocols. The combined use of CRP and milk lactose as complementary biomarkers may enhance the early identification of metabolic stress and support more targeted dairy herd health management.