Cobalt deficiency in ruminants is caused by a diet lacking in cobalt, which is required for vitamin B12 synthesis. Clinical signs include inappetence, weight loss, reduced reproductive and production performance. It occurs where soils and pastures are cobalt deficient, leading to inadequate cobalt intake. Cobalt is necessary for rumen bacteria to metabolize propionic acid through a pathway involving vitamin B12. Diagnosis involves low levels of cobalt, vitamin B12, and elevated methylmalonic acid in serum or liver. Treatment involves oral cobalt or injectable vitamin B12 supplementation, while prevention focuses on cobalt supplementation of soils, pastures, or feed.