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The patient was discharged from the hospital with an uneventful recovery. © The Author(s) 2020.Background The study objective was to test the hypothesis that 1) lowering dietary crude protein (CP) increases dietary energetic efficiency and reduces metabolic heat associated with lactation, and 2) excessive dietary leucine (Leu) supplementation in a low CP diet decreases dietary energetic efficiency and increases metabolic heat associated with lactation. Methods Fifty-four lactating multiparous Yorkshire sows were allotted to 1 of 3 isocal