“…Cow parity is another factor that may potentially affect the defined PMN percent threshold. Primiparous and multiparous cows differ in many aspects, such as postpartum uterine involution (Bastidas et al, 1984;Melendez et al, 2004;Zhang et al, 2010), metabolism and energy balance (Morales Piñeyrúa et al, 2018;Gärtner et al, 2019;Yehia et al, 2020), milk production (Morales Piñeyrúa et al, 2018;Ben Meir et al, 2019;O'Sullivan et al, 2019), ovarian function (Tanaka et al, 2008;López-Helguera et al, 2016;Morales Piñeyrúa et al, 2018), reproductive performance (Fodor et al, 2019;Rojas Canadas et al, 2020), andmanagement (McDougall et al, 2014). Therefore, several of the studies cited above accounted for the cows' parity in their statistical models (whether it was primiparous or multiparous) while establishing a %PMN threshold for the diagnosis of CEM in all cows together (Kasimanickam et al, 2004;Barlund et al, 2008;Madoz et al, 2013).…”