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Early signs: Dull or quiet demeanour Standing away from the mob Decreased appetite or refusal to eat Weakness or wobbling Lagging behind or lying down more often Teeth grinding or mild twitching Advanced symptoms: Unable to rise (recumbency) Head pressing or star-gazing posture Rapid breathing, poor coordination Blindness or disorientation Coma or sudden death The progression from dullness to death can be rapid especially in ewes carrying multiples