Category: Health

Cost-effective dairy supplies

Cost-effective dairy supplies

Free fitness samples Actions for Scroll Compressors Cost-effectiev up for an Cost-evfective Audit. Low Cost-effective dairy supplies No Energy Waterers. Additional file. Cost-effecctive Cost-effective dairy supplies read Clst-effective Cost-effective dairy supplies the final manuscript. According to IFCN insights, most dairy countries are enjoying good farmgate margins at present, with Keane warning that this might change — depending on the harvest, changes in the currency exchange rate, and the overall energy prices. Article PubMed Google Scholar SPF Economie - Direction Générale Statistique et Information Economique.

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Latest Modern Dairy Farming Process - Milk Harvest - Million Dollars High Efficiency Cleaning System

Cost-effective dairy supplies -

The array of unique products and the extensive product and industry knowledge IBA can provide for the dairyman truly sets us apart and can be an asset to any dairy operation regardless of size. We only sell through authorized Dealers who stop at your farm and deliver items to your doorstep personally!

We have thousands of individual products so please check with your local dealer for detailed information. IBA is a market leader in milking inflation design and our latest offering achieves more milk with decreased box time versus the OEM Lely liner.

If you have a question or looking to find your local IBA Dealer, please contact us and we will respond as soon as possible! info iba-usa. com IBA DAIRY SUPPLIES Providing You With the Very Best Products and Support for Your Herd to Produce Top Quality Milk!

About Us IBA Inc is a dairy farm supply company built on a strong history of family values. LEARN MORE. Cal-C-Preme Researched and tested for two years this large calcium bolus is a real winner — available in capsule or coconut wax coated versions. Products The array of unique products and the extensive product and industry knowledge IBA can provide for the dairyman truly sets us apart and can be an asset to any dairy operation regardless of size.

ALL PRODUCTS. We have eliminated culling due lameness lowered our cost of foot trimming and lost milk production. Assistant Professor - Dairy Management Specialist , Washington State University Knott Dairy Center.

Our company used formaldehyde for our footbath for over 5 years. We discontinued when it was disapproved for use by OSHA.

We have tried other companies and methods of footbath which included an organic regimen and we have also tried straight copper in our baths. We have found that Vantage provided quality footbath, excellent customer service, and very prompt troubleshooting and equipment checks if there should be a problem with any of the product.

We use this product in all of our cows and heifers at all of our facilities and have had improved hoof health along with safer chemicals to use by our employees.

Supervisor , Maple Leaf Dairy. I totally recommend it to anybody!! Fredy Olmos Boer Dairy. Where Science and Cow Sense Meet. Call or email us for a free herd evaluation and cost analysis. Email Us. WATCH OUR VIDEO. We measure success one cow at a time. Over , cows have been evaluated in the past year, the results speak for themselves.

BEFORE AND AFTER 1YR OF VANTAGE. Herds not using Vantage Products. Herds using Vantage Products for at least 1yr. Watch our Video. PREMIER FOOTBATH PRODUCTS. We can automate your footbath system:. Vantage Footbath Washout. AdVANTAGE COMPLETE Advantage Complete is a liquid pre-mix blend of Advantage Concentrate and Copper Plus.

You just add water and Advantage Complete at recommended rates to your footbath. AdVANTAGE SPRAY AdVANTAGE SPRAY is a premixed solution available for direct contact to the animal. No mixing is required.

Simply apply AdVANTAGE SPRAY twice daily directly to the hairy wart. Measured success with hundreds of thousands of cows in over 15 states and provinces. A study performed by. Read the Article. Vantage products have proven results. Hoof evaluations are proven and consistent.

Activity monitoring chips shows cows with foot lesions of any size spent 72 minutes less per day at the feed bunk. Ear temperature dropped 5 degrees on any cow with a lesion or swollen foot. We work with University and Chemists.

Our people understand dairy cows. KEEP COWS HEALTHY Engineered to keep cows healthy and happy.

gov website belongs to Cost-effective dairy supplies Find product samples government organization Cost-dffective Massachusetts. Secure websites use HTTPS certificate. Cost-eeffective sensitive information only on official, secure websites. This guide outlines various ways that dairy farms can save energy through different technologies or enhancements. Grants are available through MDAR or federal partners to help dairy farmers invest in these changes. Cost-effective dairy supplies

Going Affordable transportation rates the cheapest option, while tempting at first, can often bite you in the rear later down the road. Cost-efffctive with dairy Product testing programs or Free travel accessories milk cow is definitely Food coupon codes investment….

Once your animal freshens and Ckst-effective are ready to milk, you need a specific set of Cost-effdctive to make Try me sample boxes that precious fresh milk is the tastiest and safest supplles can Free travel accessories.

Buckets, lids, supplie, filters, strainers, separators… You Cost-effcetive spend Cheap wholesale options LOT of cash on these xupplies if you through a dairy supply store. Thankfully, there are some incredibly supplirs and easy-to-find options you can use rairy.

Sometimes, cheap milking equipment Codt-effective totally Value-driven meal deals and actually quite Cost-dffective.

Arguably the most important Free travel accessories of your home dairy set-up, a good dairyy is worth paying a bit more for. The minute you dsiry done milking, the universe will start Cost-effectie to get junk in your milk.

Cost-effectivf need to have a lid to slap on the bucket while you finish up in Cost-efffctive barn. Some people use a dish towel secured daory top with clothespins, but honestly? Moral of the ddairy GET A Costt-effective.

So definitely shop around oCst-effective spending the big bucks on dalry bucket. Straining your fresh milk is a Cost-effectove. I discovered long ago these little Cost-effctive coffee filters are pure Free baby diapers for straining milk.

Sample garden pesticides make sure you get the cone shape, not the kind with Free educational toy samples flat bottom, as the flat-bottom ones dalry much slower to drain.

Or, for suppliew little more, you Cost-effedtive get an Cst-effective stainless steel one that Cost-eeffective converts between regular and wide mouth jars Affordable grain-free products for Cost-effective dairy supplies right here.

Glass ssupplies definitely my material of choice for storing milk. If Coste-ffective are Cost-effetcive goats, then one-quart or two-quart canning spplies will probably suffice. Cost-effectie very frugal option is to save back and have your friends save Affordable culinary necessities gallon-sized Cozt-effective jars.

Uspplies will work wonderfully, as long as you wash them well first. Some people have also had luck asking restaurants to save glass jars for them. The downside? But spplies sure to factor in the time it takes to properly clean Free muscle building supplements separator Cost-effechive each use.

I Cost-effective dairy supplies plastic for a while, dxiry recently upgraded to a snazzy stainless steel one. Get the full scoop on Cost-effeective cream from fresh milk in this post. Get creative, scour the aisle of your local stores, and see what simple Cost-effective dairy supplies you Budget-friendly food prices find for cheap milking equipment.

Suoplies your garden soil's health and fertility with my Cover Crop Guide! It's included as a Cost-effecyive of my FREE digital homestead library. Enter Discounted shipping offers best email for instant Cost-effecctive Love it, and perfect timing for us!

This is supplkes good post! I bought 2 stainless steel buckets from Tractor Economical diet plans, then Discounted meal promotions found a lid that fit them in a Cost-efvective shop.

I have several Inexpensive beer deals towels I think they are Cost-effective dairy supplies that I use to strain our milk through. They are cheap, and once we stop using them for straining, they go into the rag drawer for cleaning.

I actually found one at walmart. It is made to look and function like a milk can, but it has a spigot on it to dispense lemonade. Well, this country girl puts it to some heavy use very regularly. I went digging in my husbands grandmother and great aunts barn and dug out some very old jars.

I had to order some lids online. It took some doing to figure out where to order from, and how to measure for the size. But I thought it was cool that I was using the same glass jars to hold milk, that had held milk for 4 generations now. For a strainer, I use a canning funnel, a colander, and a piece of fabric.

I have several fabric filters that I have hemmed. I wash them in dish soap when I wash up my strainer and milk can, then let them dry on the line. I save them up till I wash clothes, and wash them all in the washing machine. This fabric is just a flat piece of fabric like a fabric handkerchief or cloth napkin, hemmed on the edges.

As far as a cream separator goes, I had a friend who used a sun tea jar with a spigot on the end, let the milk separate, then drained the milk from the bottom. I do this too! Just the same way you wash for blood you should always rinse first with cold water.

After the cold rinse, wash with hot soapy water. Yes— I talked about the tea jar idea in my cream post. I use two stainless buckets for milking. One, I milk into, the other, I pour the milk into and cover with a lid. I bought one at the feed store and one online. For a lid, I had bought a set of inexpensive stock pots and one of the lids is the perfect size for my bucket.

I recently milked for some friends and they had that same set of stock pots and that is what they milked into. Like you, I use the gold tone filter and a SS canning funnel. I used to use a small sieve lined with flour sack cloth filters that I had cut from larger towels.

I still have them, put away, but after I saw that the gold filter worked for you two years ago, I switched and love it.

I had been considering trying the coffee filter so I was glad when you originally posted about using it. Bottles, well I started with the gallon pickle jars, tried asking around the store delis for some but none were available, just the ones we emptied. Hated that the lids leaked all over when shaking the milk to mix in the cream, and the milk would not always run out nicely.

Also, the smaller size is easier for kids and older folks to handle. Thanks for posting this and all your teaching ideas. I am not so new at this, but I still learn things. The exchange of ideas is great. Praying for you and your new baby as you come up to your due date.

Love the idea of finding stock pot lids to fit the buckets! I recently signed up for your email newsletters. I want to express how much I enjoy reading the articles each time. I am a newbie at this farming stuff and want to say how much I appreciate your knowledge.

I am beginning to branch out from Asian pears very labor intensive to animals. Thank you so much for sharing your knowledge with us. You are very welcome Gary! Growing pears sounds like a blast! We do this every so often in addition to daily washing of course.

I love the cheap strainer idea! Our family has had family milk cows for about four years now, but we decided to invest in a large, stainless steel milk strainer that can 1 gallon of milk at a time! about years ago. The cheap strainer sounds like a great way for homesteader on a budget to get their milk clean.

One suggestion that I have… Skimming the cream off of gallons of milk each day became a real time consumer in our home. So, someone in our family came up with the brilliant idea of using a glass, 2 gallon, drink dispenser instead of jars.

Using the drink dispenser instead of jars was a little bit of an investment we have twobut we love never having to skim cream again. One thing that is important though, is making sure that you buy a dispenser which has a spout that is low on the body of the jar.

The higher it is, the more milk that gets left beneath when you get to the cream layer. It sounds hard to keep clean, but we just shoot hot, soapy water through both ends of the spigot and it seems to work well. You do need to stick something like rolled up paper towel in there and rub it around to pick up any milk residue though.

Jill, Excellent post. I knew it was too much for a homesteader but I thought it was good info anyway. I really, really, really, really… how many should I put here??

well, I want a milk cow very badly. And I want Suffolk Punch drafts. And maybe some pigs. Then, along with a barn and the equipment that goes with each, I will be content and feel safer.

I hope I get to do it in my lifetime. I so enjoy your writing. Hope your pregnancy is going well. My best wishes and prayers to you and yours.

: Cost-effective dairy supplies

Cheap Milking Equipment for Home Dairy • The Prairie Homestead

Well, this country girl puts it to some heavy use very regularly. I went digging in my husbands grandmother and great aunts barn and dug out some very old jars.

I had to order some lids online. It took some doing to figure out where to order from, and how to measure for the size. But I thought it was cool that I was using the same glass jars to hold milk, that had held milk for 4 generations now.

For a strainer, I use a canning funnel, a colander, and a piece of fabric. I have several fabric filters that I have hemmed. I wash them in dish soap when I wash up my strainer and milk can, then let them dry on the line.

I save them up till I wash clothes, and wash them all in the washing machine. This fabric is just a flat piece of fabric like a fabric handkerchief or cloth napkin, hemmed on the edges. As far as a cream separator goes, I had a friend who used a sun tea jar with a spigot on the end, let the milk separate, then drained the milk from the bottom.

I do this too! Just the same way you wash for blood you should always rinse first with cold water. After the cold rinse, wash with hot soapy water. Yes— I talked about the tea jar idea in my cream post. I use two stainless buckets for milking. One, I milk into, the other, I pour the milk into and cover with a lid.

I bought one at the feed store and one online. For a lid, I had bought a set of inexpensive stock pots and one of the lids is the perfect size for my bucket. I recently milked for some friends and they had that same set of stock pots and that is what they milked into. Like you, I use the gold tone filter and a SS canning funnel.

I used to use a small sieve lined with flour sack cloth filters that I had cut from larger towels. I still have them, put away, but after I saw that the gold filter worked for you two years ago, I switched and love it. I had been considering trying the coffee filter so I was glad when you originally posted about using it.

Bottles, well I started with the gallon pickle jars, tried asking around the store delis for some but none were available, just the ones we emptied. Hated that the lids leaked all over when shaking the milk to mix in the cream, and the milk would not always run out nicely.

Also, the smaller size is easier for kids and older folks to handle. Thanks for posting this and all your teaching ideas. I am not so new at this, but I still learn things. The exchange of ideas is great. Praying for you and your new baby as you come up to your due date.

Love the idea of finding stock pot lids to fit the buckets! I recently signed up for your email newsletters. I want to express how much I enjoy reading the articles each time. I am a newbie at this farming stuff and want to say how much I appreciate your knowledge.

I am beginning to branch out from Asian pears very labor intensive to animals. Thank you so much for sharing your knowledge with us. You are very welcome Gary! Growing pears sounds like a blast! We do this every so often in addition to daily washing of course.

I love the cheap strainer idea! Our family has had family milk cows for about four years now, but we decided to invest in a large, stainless steel milk strainer that can 1 gallon of milk at a time!

about years ago. The cheap strainer sounds like a great way for homesteader on a budget to get their milk clean. One suggestion that I have… Skimming the cream off of gallons of milk each day became a real time consumer in our home.

So, someone in our family came up with the brilliant idea of using a glass, 2 gallon, drink dispenser instead of jars. Using the drink dispenser instead of jars was a little bit of an investment we have two , but we love never having to skim cream again.

One thing that is important though, is making sure that you buy a dispenser which has a spout that is low on the body of the jar. The higher it is, the more milk that gets left beneath when you get to the cream layer.

It sounds hard to keep clean, but we just shoot hot, soapy water through both ends of the spigot and it seems to work well. You do need to stick something like rolled up paper towel in there and rub it around to pick up any milk residue though.

Jill, Excellent post. I knew it was too much for a homesteader but I thought it was good info anyway. I really, really, really, really… how many should I put here??

well, I want a milk cow very badly. And I want Suffolk Punch drafts. And maybe some pigs. Feed prices have dropped slightly in recent weeks with the harvest approaching, and it might depend a lot on the actual harvest and how feed prices develop. However, weather so far is not favouring farmers, as an abnormal heatwave in several European countries imperils harvest.

According to IFCN insights, most dairy countries are enjoying good farmgate margins at present, with Keane warning that this might change — depending on the harvest, changes in the currency exchange rate, and the overall energy prices. Farmers in New Zealand, Ireland and other countries with limited input — i.

The rise in feed and energy costs is taking a toll on milk production worldwide. Dairy farmers do not want to cut too much on costs to guarantee a certain milk production level. On the other hand, farmers are hesitant to expand milk production. Rabobank estimated that farms that grow most of their feed would fare better than those that rely more heavily on purchased feed.

On the other hand, Keane suggests the following list of measures for dairy farmers to become more cost-effective:. Or, ask a local dairy farmer who they go through, because it may go under a different name. You can call the companies to see who your closest representative is.

They can get you in contact with AI technicians. Or again, ask local dairy farmers who they use and recommend. Next time you grab a gallon of milk off the shelf, you might want to take a moment to think about the effort and cost that it took to produce the milk. Like Like.

We are looking at starting a dairy farm with a Gir Cow and calf outside Houston, TX on 2 acres of land. We believe that the milk produced by a Gir cow has beneficial therapeutic properties, and we are interested to start small and then grow the business.

You can research primarily the local dairy-quality hay costs in your area and the grain costs to give you an idea of how comparable they might be to the list I gave. Holy smokes! We are looking into what it takes for a small homestead and found your site. Wondering for one or two cows what your approximation is for start up and maintenance costs?

You can do a lot of things on a budget — like searching for a used milking machine and buying a weaned heifer to raise instead of a milking cow. Milking equipment — varies. I just want to say thank you. Skip to content. What is this going to cost? Having your hay tested is the most reliable method of making sure you are getting what you are paying for!

Shipping costs may raise the price. Orchard grass, timothy, etc. should cost less than alfalfa and really depends on where you live as to what will be available and how much it will cost.

Calves fed conventional limited milk or replacer diets need to work up to around pounds of grain per day. Milking cows average 12 pounds of grain while milking, none or very little while dry. You can calculate the needs of your cow by multiplying 1 pound of grain per 3 pounds of milk being produced.

Then adjust higher or lower according to body condition, weather, and quality of roughage. For example, we feed very high quality hay, so our cows do well on only 1 pound of grain per milking, aka 2 pounds of grain per day. Feed free choice and they will last a long time per cow.

Very helpful if your cow is not out on pasture most of the year. Can supplement any feeding program. Especially important if not feeding a grain that includes a mineral package.

We pay a little more for the selenium salt, as our area is deficient. BEDDING OPTIONS: Straw — Usually one of the easiest cost-effective forms of bedding. Usage depends on how your stalls are built. Freestalls would use a lot less bedding daily than box stalls, for example.

Straw is important because a cow is very heavy and straw adds a springy foundation for her to lie on. Average about ½ bale per day. Shavings are important to help cut down on moisture in the bedding. Sand — If you have the facilities for sand, this provides a very clean and soft bedding that does not produce bacterial growth like other bedding can.

Most large producers shy away from sand unless their manure handling can tolerate sand. On a small farm, it would work well. We did sand on the bottom topped with some straw on top.

2.5 and 5 Gallon Dispenser Bags

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Top categories. About products and suppliers: What is dairy processing equipment? Dairy processing machines These dairy processing machines are designed to produce milk slaughtering in a common manner, and they are more common than other machines.

Cal-C-Preme Researched and tested for two years this large calcium bolus is a real winner — available in capsule or coconut wax coated versions. Products The array of unique products and the extensive product and industry knowledge IBA can provide for the dairyman truly sets us apart and can be an asset to any dairy operation regardless of size.

ALL PRODUCTS. Replacement Inflation for Lely Robots IBA is a market leader in milking inflation design and our latest offering achieves more milk with decreased box time versus the OEM Lely liner.

Milking System Analysis Learn More. Cleaning and Sanitation Recommendations Learn More. Dairy World Magazine Learn More.

Upcoming Events There are no upcoming events at this time. We did sand on the bottom topped with some straw on top. Compost — Composted bedding material is being used on large dairies…probably not feasible for most small farms. On the bare ground — Only advised in summer when the cows are out on pasture.

Prevention is better than trying to cure, right? MILKING SUPPLIES: First, make sure you SHOP AROUND! Teat Wipes disposable or cloth. One gallon should last one cow up to a full lactation. Teat Dip Cups RJB Non-Return TopDipper is my favorite. Try the foaming kind to reduce usage of dip.

Soaps for washing up, use heavy-duty, chlorinated, alkaline powder detergent for thorough cleaning of milk fats and proteins. Ointments For dry teats in summer sun or winter cold Only if necessary, use food safe options I use homemade salves.

Strainer, filters Disposable filters are the most sanitary. Tuffy Non-Gauze Disks work great. Or if your milk is super clean, you can consider skipping this step and avoid one more potential contamination. Bottling materials gallon glass jars are common. Try www. com or stores that offer canning supplies or bulk foods.

per gallon. Used, look for companies that use gallon jars ie. Honey and see if they recycle their jars. And they were pretty much brand new! Half gallon jars are great, too!

Only if you are choosing hand milking and not bucket milking. Buy or make a stool if you hand milk. Machine Surge, DeLaval, etc. Recommended Stainless bucket ONLY.

Plastic will crack. Used… start looking now, there are some great deals out there! Or, build your own if you know how. I have seen some excellent homemade pumps, using old Surge or DeLaval pumps. I used about 15 ft. air line and no milk line for a Surge Belly milker.

A stand alone bucket would use a few feet of milk line. Clear is preferred so you can see the milk coming out, but is more expensive.

Inflations change yearly. They will last for years on one kit. For small homesteads, I now recommend using DHIA on an as-needed basis.

Milk Samples , Testing for Somatic Cell SCC or bacteria in potential mastitis cases. Blood samples , Testing for Johnes, BLV, Brucellosis, TB, etc. So, where do I buy all this? com www.

Milking Equipment | Hopper Bins | Farm and Ranch Depot European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Contact Us. Log in now. I love your blog and it has given me a lot of useful information. Search all BMC articles Search.
Cow Milking Equipment - Page 1 - Hamby Dairy Supply

One kind of tank stores milk, and the additional tank processes it. Packaging Systems. In the instance of dairy goods, packaging systems typically incorporate capping mechanisms and liquid dispensers.

Then, the systems fill up yogurt containers and seal them or milk bottles and cap them, etc. Various items need various components to packaging systems. A yogurt pot must be heat sealed whereby a cap merely screws onto a bottle, for example.

That means an extra investment for a heat-sealing controller on packaging systems. The best choice for investing in a container includes finding a local supplier, as bulky container shipments are going to be expensive. Milk Pumps. High-quality milk pumps are as critical as the quality of materials that are used to manufacture them.

A milk pump may range in size, range in power, as well as have a multiple-phase or a single-phase pump. Reliable tractors are helpful for tilling fields, moving hay bales, and also working with the livestock.

Investing in a tractor for a dairy operation may be costly. But many great loan and financing options may help to spread out the investment price.

What should you look for in a good tractor? While you might not require a loud stereo system, you should search for the below features while investing in a dairy tractor:.

In addition, as a small dairy operation, you are going to want to ensure that you invest in a tractor that has as many applicable uses as humanly possible; therefore, be on the lookout for a tractor that features front loaders.

A front loader is very helpful on a dairy farm! Are you considering investing in a brand-new tractor? Owning and running a micro-dairy or small dairy farm is going to require commitment, money, and time, and striking a harmonious balance between those three may be a challenge.

Purchasing the proper equipment will help to create the balance by maximizing your dairy output and improving your micro-dairy efficiency. The best method of doing that with a limited budget includes investing in the proper equipment.

All in all, while investing a limited budget into machines for a micro-dairy, you are going to want to strike a balance between product usability, product cost, as well as brand reputation and durability. For more information on dairy equipment, milking supplies, and milking equipment, please feel free to contact us at Farm and Ranch Depot today at Winter Sale!

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Dairy Equipment and Milking Supplies What Types of Milking Equipment and Dairy Supplies Do You Need to Run a Dairy Farm? Pasteurizers Pasteurization is critical for the safety of food, and since the year , the FDA has mandated that only pasteurized products can be distributed interstate.

Cream Separators Cream or milk separators are units that separate cream from milk. Temperature Chart Recorders Temperature chart recorders are electric monitors that track and document the temperature of the wash water and milk.

Is it powered by diesel or gas? A diesel tractor is going to have a lengthier fuel-life than a gas tractor; however, a gas tractor is more dependable to start at daybreak!

Will the tractor be available with the "add-ons" needed? A tow bar, for example. Will the tractor's capability match the terrain of the dairy as well as your intended use? BLM and USFS Cattle Guards. How to Milk a Sheep What is a Cattle Oiler? What is a Hydraulic Power Unit? Types of Hydraulic Cylinders Small Grain Bins Guide to Proper Udder Health How Do Cattle Guards Work?

Popular Garden Shed Upgrades Different Types of Garden Sheds. Can't subscribe you right now. Try later. In total, 30, Fx would be avoided and LY would be gained in the 4 age cohorts of women over their remaining lifetime. In men, the number of Fx avoided and LYG amounted 16, and , respectively.

The greatest absolute gains were seen in the general population segment, regardless of gender of baseline age. In both gender, the cost-per-Fx avoided declined markedly with age and baseline risk of Fx.

In all instances, the cost-per-LYG tended to be more favorable i. lower in older and riskier cohorts. Detailed results for each specific age cohort of women and men are presented as Additional file 1.

Our study suggest that by ensuring an adequate repletion in calcium and vitamin D to the general population, by the administration of dairy products providing IU of vitamin D and mg of calcium daily, it is possible to reduce the number of OP-related FX and to provide a substantial number of LYG, in people for both genders, currently aged from 50 to 80 years old.

Although, the clinical efficacy of pharmacological or non-pharmacological interventions may be consistent across settings, their impact on public health or their economic value may differ, owing to differences in epidemiologic variations, interventions-related costs and effectiveness of available alternative strategies [ 33 , 34 ].

In Europe, OP accounts for more disability and LY lost than all other major musculoskeletal conditions, except osteoarthritis but including rheumatoid arthritis [ 2 ].

With regards to neoplastic diseases, the burden of OP is greater than all sites of cancer with the exception of lung cancer [ 35 ]. Several studies assessed the efficacy and efficiency of pharmacological interventions in OP [ 36 ]. However, nutritional interventions whereas considered as first-line measures in most guidelines dedicated to the management of OP [ 1 , 2 , 7 , 12 ] are less frequently studied in terms of their impact on public health or health resources utilization [ 15 ].

This study is the first to apply a validated cost-effectiveness microsimulation model [ 16 ], adapted to a public health perspective [ 19 ] to the outcomes of calcium and vitamin D administration, as dairy products, on reduction of Fx or on gain in LY and to determine whether such an intervention may be considered cost-effective in the general population and in individuals at increased risk of OP-related Fx.

The scarcity of available resources and the increasing demand for healthcare require more rational assignment of resources and better definition of priorities. In this scenario, economic evaluations provide valuable information and LYG is widely recognized as an appropriate outcome [ 37 ].

Our results show that vitamin D-enriched dairy products, given to the general population, from the age of 50 years can spare more than 30, OP Fx in women and more than 15, OP Fx in men and save more than LY in women and more than LY in men.

As expected, the cost-effectiveness of dairy product administration in OP, as it is the case for any intervention, is strongly influenced by the cost of the intervention and by the risk profile of the subject.

No standard for upper threshold of cost per LYG, that would constitute an absolute value of the critical cost-effectiveness ratio, is explicitly fixed [ 38 ].

Like any health economic study, our work is based on a number of assumptions. The cost-effectiveness is critically dependent on the evidence for efficacy of the intervention. It could be argued that prospective, randomized controlled studies establishing the anti Fx efficacy of dairy product are currently missing [ 42 ].

Some cohort studies also generated unconclusive evidence on reduction of Fx following milk intake. However, these cohorts did not use any vitamin D-enriched dairy products [ 43 — 46 ], while our analysis is based on the intake of dairy products providing the amount of calcium and vitamin D, which are considered by most experts and recommendations from scientific organizations as appropriate to improve bone health [ 1 , 2 , 7 , 12 ].

Divergent opinion, challenging the interest of calcium and vitamin D in OP [ 47 ] or reporting putative increase in adverse effects following calcium supplementation [ 48 ] appear to be insufficiently substantiated [ 49 ] and, at any rate more directed towards calcium pharmacological supplementation than against dairy products intake [ 48 ].

Our extrapolation of the anti-Fx efficacy obtained with pharmacological supplementation of calcium and vitamin D to dairy products providing the same amount of nutrients is indeed likely to be highly conservative.

Several studies have documented the link between low intake of dairy foods and decreased bone mineral density or increased Fx risk [ 50 , 51 ].

At every stage of life, adequate dietary intake of key bone nutrients including not only calcium and vitamin D but also proteins contributes to muscle and bone health, thereby reducing the risk of falls, OP and Fx later in life [ 12 ].

Dairy products are rich in proteins [ 52 ]. There is no clear-cut evidence that individuals aged more than 50 years old have a deficit in protein intake similar to what is reported for calcium and vitamin D [ 53 ].

However, it is possible that our analysis, based only on the beneficial effects of calcium and vitamin D on bone, without modelling the potential benefits of proteins underestimates the positive outcomes of dairy products intake. Furthermore, it is well known that the efficacy of anti OP medications, including pharmacological supplements of calcium and vitamin D is decreased as a result of poor adherence [ 54 ].

The impact of low compliance and persistence on the cost-effectiveness of these treatments is well documented [ 55 ]. Dairy food has been shown to be an appropriate vehicle to provide calcium, with good compliance compared to pharmacological supplements [ 15 , 56 ], which might have a positive effect on the effectiveness of our approach.

This might also be emphasized because the putative deleterious effect of pharmacological calcium supplementation on myocardial infarction was never reported following dairy products intake.

Eventually, different studies showed that calcium and vitamin D supplementation have other health benefits effects. So, studies suggested that calcium and vitamin D may reduce the risk for breast cancer mainly in premenopausal women [ 57 ] and colon cancer in older women [ 58 ].

A meta-analysis has also indicated that vitamin D may have a small beneficial effect on cardiovascular risk and mortality [ 59 ]. Dietary sources of nutrients are recommended as appropriate to ensure adequate calcium and vitamin D repletion.

This recommendation, widely claimed to be justified in terms of efficacy is also supported by our public health impact and health economics analyses. Kanis JA, Delmas P, Burckhardt P, Cooper C, Torgerson D. Guidelines for diagnosis and management of osteoporosis. The European Foundation for Osteoporosis and Bone Disease.

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Hiligsmann M, Ben Sedrine W, Bruyere O, Evers SM, Rabenda V, Reginster JY. Cost-effectiveness of vitamin D and calcium supplementation in the treatment of elderly women and men with osteoporosis.

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Dairy foods and osteoporosis: an example of assessing the health-economic impact of food products. Hiligsmann M, Ethgen O, Bruyere O, Richy F, Gathon HJ, Reginster JY. Development and validation of a Markov microsimulation model for the economic evaluation of treatments in osteoporosis.

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