Similac® Special Care® 20 With Iron

Features

Similac® Special Care® 20 With Iron has a nutrient profile identical to Similac® Special Care® 24 With Iron per 100 Cal

DHA and ARA, special nutrients found in breast milk shown to improve visual development in preterm infants

Has a patented blend of special breast milk nutrients called nucleotides to help support the developing immune system

Provides calcium and phosphorus at concentrations necessary to achieve intrauterine accretion rates

Provides approximately 2 mg iron/kg body weight per day, when fed at 120 Cal/kg body weight per day

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Usage

Precautions

Very low-birth-weight infants are particularly susceptible to gastrointestinal complications; therefore, feeding should be initiated cautiously
Tolerance to enteral feedings should be confirmed by initially offering small volumes of hypocaloric formula followed by cautious progression to higher caloric feedings. Spitting up, excessive gastric residuals, abdominal distention, abnormal stools or stool patterns, or other signs of intestinal dysfunction have been associated with enteral feeding before the intestinal tract is ready to accommodate the regimen. At the first sign of these problems, enteral feeding should be slowed or discontinued.
Not intended for feeding low-birth-weight infants after they reach a weight of 3600 g (approximately 8 lb) or as directed by a doctor

Availability

Item	List Number
Similac Special Care 20 with Iron Ready to Feed Institutional / 2-fl oz Bottle / Case of 48	52418

US Patents 4,813,561; 4,981,230; 4,991,731; 5,191,975; D332,395; D332,401; D337,271

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Nutrition

Unflavored Ready to Feed

Similac Special Care 20 with Iron Ready to Feed Institutional / 2-fl oz Bottle / Case of 48

Serving Size: 100 Cal
Amount Per Serving	% DV	% RDI
Characteristics
Protein (% Cal): 12
Protein (Source): Nonfat Milk, Whey Protein Concentrate
Fat (% Cal): 47
Fat (Source): Medium Chain Triglycerides, Soy and Coconut Oils (0.25% DHA, 0.40% ARA)
Fat (ratio): 50:30:18
Carbohydrate (% Cal): 41
Carbohydrate (Source): Corn Syrup Solids, Lactose
Carbohydrate (ratio): 50:50
Osmolality, mOsm/kg H2O: 235
Nutrient Data
Energy, Cal: 100
Volume, mL: 148
Protein, g: 3.0
Fat, g: 5.43
Linoleic Acid, mg: 700
Carbohydrate, g: 10.3
Potential Renal Solute Load, mOsm: 27.8
Water, g: 133
Vitamins
Vitamin A, IU: 1250
Vitamin D, IU: 150
Vitamin E, IU: 4.0
Vitamin K, mcg: 12
Thiamin (Vitamin B1), mcg: 250
Riboflavin (Vitamin B2), mcg: 620
Vitamin B6, mcg: 250
Vitamin B12, mcg: 0.55
Niacin, mcg: 5000
Folic Acid, mcg: 37
Pantothenic Acid, mcg: 1900
Biotin, mcg: 37
Vitamin C, mg: 37
Choline, mg: 10
Inositol, mg: 40
Minerals
Calcium, mg: 180
Calcium, mEq: 9.0
Phosphorus, mg: 100
Magnesium, mg: 12
Iron, mg: 1.8
Zinc, mg: 1.5
Manganese, mcg: 12
Copper, mcg: 250
Iodine, mcg: 6
Selenium, mcg: 1.8
Sodium, mg: 43
Sodium, mEq: 1.9
Potassium, mg: 129
Potassium, mEq: 3.3
Chloride, mg: 81
Chloride, mEq: 2.3

Serving Size: 1000 mL
Amount Per Serving	% DV	% RDI
Characteristics
Protein (% Cal): 12
Protein (Source): Nonfat Milk, Whey Protein Concentrate
Fat (% Cal): 47
Fat (Source): Medium Chain Triglycerides, Soy and Coconut Oils (0.25% DHA, 0.40% ARA)
Fat (ratio): 50:30:18
Carbohydrate (% Cal): 41
Carbohydrate (Source): Corn Syrup Solids, Lactose
Carbohydrate (ratio): 50:50
Osmolality, mOsm/kg H2O: 235
Nutrient Data
Energy, Cal: 676
Volume, mL: 1000
Protein, g: 20.29
Fat, g: 36.72
Linoleic Acid, mg: 4734
Carbohydrate, g: 69.7
Potential Renal Solute Load, mOsm: 188.2
Water, g: 899
Vitamins
Vitamin A, IU: 8454
Vitamin D, IU: 1014
Vitamin E, IU: 27.1
Vitamin K, mcg: 81.2
Thiamin (Vitamin B1), mcg: 1691
Riboflavin (Vitamin B2), mcg: 4193
Vitamin B6, mcg: 1691
Vitamin B12, mcg: 3.72
Niacin, mcg: 33,815
Folic Acid, mcg: 250
Pantothenic Acid, mcg: 12,850
Biotin, mcg: 250
Vitamin C, mg: 250
Choline, mg: 68
Inositol, mg: 271
Minerals
Calcium, mg: 1217
Calcium, mEq: 60.7
Phosphorus, mg: 676
Magnesium, mg: 81.2
Iron, mg: 12.2
Zinc, mg: 10.14
Manganese, mcg: 81
Copper, mcg: 1691
Iodine, mcg: 41
Selenium, mcg: 12.2
Sodium, mg: 291
Sodium, mEq: 12.6
Potassium, mg: 872
Potassium, mEq: 22.3
Chloride, mg: 548
Chloride, mEq: 15.5

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Ingredients

Unflavored Ready to Feed

Water, Nonfat Milk, Corn Syrup Solids, Medium-Chain Triglycerides, Lactose, Whey Protein Concentrate, Soy Oil, Coconut Oil. Less than 0.5% of the Following: C. Cohnii Oil^*, M. Alpina Oil^†, Calcium Phosphate, Ascorbic Acid, Magnesium Chloride, Soy Lecithin, Monoglycerides, Potassium Citrate, m-Inositol, Carrageenan, Calcium Carbonate, Sodium Citrate, Potassium Hydroxide, Ferrous Sulfate, Choline Bitartrate, Taurine, Niacinamide, Choline Chloride, L-Carnitine, Zinc Sulfate, Potassium Chloride, Sodium Chloride, Potassium Phosphate, d-Alpha-Tocopheryl Acetate, Calcium Pantothenate, Vitamin A Palmitate, Cupric Sulfate, Riboflavin, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Folic Acid, Beta-Carotene, Manganese Sulfate, Biotin, Phylloquinone, Sodium Selenate, Vitamin D3, Cyanocobalamin, and Nucleotides (Cytidine 5’-Monophosphate, Disodium Guanosine 5’-Monophosphate, Disodium Uridine 5’-Monophosphate, Adenosine 5’-Monophosphate).
^* A source of docosahexaenoic acid (DHA).
^† A source of arachidonic acid (ARA).
Contains milk and soy ingredients.

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Preparation

Ready To Feed: Do not dilute unless directed by physician.

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