The transition period, spanning approximately three weeks before and after parturition, represents one of the most critical physiological windows in dairy production. Profound metabolic, endocrine, and immune adaptations occur as the cow shifts from gestation to lactation, predisposing high-yielding cows to oxidative stress, inflammation, and metabolic imbalance. Negative energy and metabolisable protein balances stimulate extensive lipolysis and the accumulation of non-esterified fatty acids (NEFAs) and β-hydroxybutyrate (BHBA), which can impair hepatic function and postpartum performance. This review integrates recent advances in the understanding of metabolic and immunometabolic regulation during transition, emphasising the interplay among energy metabolism, oxidative stress, and immune dysregulation. It critically re-evaluates current nutritional interventions including controlled-energy and negative DCAD diets, rumen-protected polyunsaturated fatty acids, and methyl donor amino acids while highlighting the emerging potential of injectable trace minerals as adjunct strategies to improve metabolic resilience. The review concludes by outlining remaining knowledge gaps and proposing a framework linking physiological mechanisms with targeted nutritional management.
Ashar et al. (Thu,) studied this question.