The aim of this study is to investigate the prevalence of ketosis in 7 different villages (Alibir, Ardıçtepe, Çavuşlar, Garip, Sudüğünü, Yamaç, and Yeşil) of Bingöl province. A total of 411 dairy cows, including Simmental, Holstein and crossbred breeds, were used in the study during the 3-week period after birth. Ketosis was diagnosed by measuring blood beta-hydroxy-butyric acid (BHBA) concentration. Blood BHBA concentrations were analyzed using the FreeStyle Optium Neo H (Abbott Diabetes Care Ltd., Witney, UK). Blood BHBA ≥2.6 mmol/L was determined as clinical ketosis (CK), BHBA≥1.2 mmol/L as subclinical ketosis (SCK), and BHBA