The neoclassical description of an axisymmetric toroidal plasma equilibrium is formulated for an unconventionally low ordering of the collisionality that suits realistic thermonuclear fusion conditions. This requires a drift-kinetic analysis to the second order of the ion Larmor radius, which yields a new contribution to the leading solution for the non-Maxwellian part of the ion distribution function if the equilibrium geometry is not up-down symmetric. An explicit geometrical factor weighs this second Larmor-radius order, low-collisionality effect that modifies the neoclassical ion parallel flow, and the ion contribution to the bootstrap current.