This study investigated the energy balance, metabolic changes, reproduction, and health in Australian Holstein-Friesian cows of average genetic merit fed to produce 6,000 L of milk/cow per lactation (restricted production; Rp) on a predominantly grazed pasture diet, or 9,000 L of milk/cow per lactation (high production: Hp) on a more intensive feeding regimen by using a partial mixed ration to supplement pasture. The mean 4% fat-corrected milk (FCM) and standard deviation achieved was 8,466 +/- 1,162 L/cow per lactation for the Hp herd and 6,748 +/- 787 L/cow per lactation for the Rp herd. During early lactation, the degree of estimated negative energy balance was less in the Hp cows than in the Rp cows (-16.1 vs. -29.1 MJ/cow per day, respectively). Consequently, the mobilization of body reserves was also lower in the Hp cows, and this was reflected in lower concentrations of nonesterified fatty acids (0.70 vs. 0.84 mmol/L) and beta-hydroxybutyrate (0.51 vs. 0.69 mmol/L) and greater concentrations of glucose (3.51 vs. 3.34 mmol/L) and insulin-like growth factor-I (78.9 vs. 58.7 ng/mL) for Hp and Rp cows, respectively. After calving, body condition score and body weight decreased to a similar extent in both herds and did not reflect the differences in mobilization of body reserves between the 2 herds. Reproductive performance was not significantly related to level of milk yield. The mean interval from calving to first active corpus luteum was 33 (SD = 20) d postpartum, and there were 1.4 (SD = 0.8) estrus cycles before the beginning of the breeding period (>50 d postpartum). The interval from calving to pregnancy was 114 d, and the pregnancy rate after 12 wk of mating was 74%. The number of cows with ovarian abnormalities was also similar between the 2 herds. Cows with a long postpartum anestrus had the lowest concentration of insulin-like growth factor-I. The number of health-related disorders was also similar between the herds, with the exception of mastitis, for which the incidence was significantly greater in the Hp cows. The results indicate that the production per cow could be increased from 6,748 L of FCM/cow per lactation for cows grazing pasture and supplemented with concentrates only at milking to 8,466 L of FCM/ cow per lactation, in one lactation, by supplementing pasture with a partial mixed ration. Despite the fact that production per cow increased substantially, the degree of estimated negative energy balance and the metabolic changes in early lactation were lower and reproductive performance was maintained.