Highlights
• This review systematically analyzes the multifactorial etiology of neonatal calf diarrhea (NCD), highlighting the critical role of gut microbiota dysbiosis in driving pathogen invasion and intestinal barrier damage.
• It demonstrates that probiotics exhibit safety and efficacy superior to traditional antibiotics through a multi-dimensional collaborative mechanism of “pathogen inhibition-intestinal barrier repair-immune regulation-metabolic improvement”.
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