New theory on dairy cow disease could revolutionize animal health — and maybe human medicine

“Milk fever” in cattle may be more complex than just a calcium deficiency, research suggests — and may change how we look at inflammation.

A group of cows stand gathered together outdoors. (Photo: Getty Images)

A new theory about milk fever, a serious calcium deficiency in dairy cows, could shed new light on a wide range of inflammatory diseases in both animals and people. (Photo: Getty Images)

A groundbreaking idea from a University of Alberta scientist could finally crack the code behind one of the most stubborn diseases in the dairy industry — and lead to a new understanding of human health.

Milk fever, a serious condition that strikes dairy cows around the time they give birth, has long been blamed on a drop in blood calcium. That dip can lead to muscle weakness, inability to stand and, in severe cases, death. 

But despite the standard treatment — administering extra calcium to the animal — milk fever remains a costly and common problem on farms around the world.

Now, professor Burim Ametaj is offering a breakthrough perspective called the Calci-Inflammatory Network, a concept that reimagines milk fever not as a simple calcium deficiency, but as a complex biological response to inflammation.

“This is a paradigm shift that challenges decades of thinking,” says Ametaj, a nutritional immunobiologist in the Faculty of Agricultural, Life & Environmental Sciences

“Instead of seeing low blood calcium as a malfunction, we now believe it could be part of the body’s intelligent strategy to control inflammation after calving.”

In other words, the cow’s body might actually be lowering its own calcium levels on purpose, to protect itself, he says.

Inflammation naturally rises after calving, and Ametaj’s research suggests that reducing calcium may help to dampen harmful immune overreactions, like excessive activation of immune cells and the spread of bacterial toxins. 

In this view, milk fever becomes not a simple disease of deficiency, but a sign that deeper systems — immunity, hormones and metabolism — are out of balance.

By unlocking this hidden complexity, the Calci-Inflammatory Network could lead to more targeted treatments by adjusting calcium therapy not just to “refill the tank,” but to align with the cow’s immune state, genetic profile and stage of recovery, Ametaj suggests.

That could mean fewer sick cows, less antibiotic use, and better outcomes for dairy producers and animal welfare, he notes.

“Understanding milk fever through this new lens helps us develop a precision approach to prevention and therapy,” Ametaj explains. 

“It’s about seeing the cow as a whole, dynamic system — not just fixing one number in a blood test.”

Calcium isn’t just about bones and muscles — it’s a key regulator of immune function and inflammation.

Burim Ametaj

Burim Ametaj
(Photo: John Ulan)

But the implications don’t stop at the barn door.

Because calcium and inflammation are core processes in all mammals, Ametaj believes the Calci-Inflammatory Network could help explain a wide range of diseases in both animals and people. In fact, low blood calcium, known as hypocalcemia, is a strikingly common finding in many serious human illnesses, he notes.

“Patients in intensive care units with sepsis, severe COVID-19, influenza and even cancer often show hypocalcemia. 

“It’s not a coincidence. It’s the body’s way of trying to regulate a runaway inflammatory response.”

As in dairy cows, the human body may use calcium levels as a kind of dial to turn inflammation up or down, he says. Lower calcium concentrations could help prevent immune cells from going into overdrive — a phenomenon that leads to tissue damage in everything from respiratory infections to cancer-related inflammation.

“This tells us something profound,” Ametaj says. “Calcium isn’t just about bones and muscles — it’s a key regulator of immune function and inflammation.”

Understanding that link could open new doors to therapies that modulate calcium levels with precision, instead of just “supplementing blindly,” he adds. 

“The Calci-Inflammatory Network may offer a new biological framework for tackling diseases where inflammation is central — not only in livestock, but across human medicine.”

With further research, the theory could lead to smarter treatments for conditions that today are managed symptomatically, without addressing the underlying system imbalance, Ametaj suggests.

“We’re just beginning to uncover the full story of calcium,” he adds. 

“It could be one of the body’s most powerful tools for healing — if we learn how to listen to what it’s telling us.”