Similac® Special Care® 24 High Protein

Similac® Special Care® 24 High Protein


Premature High Protein Infant Formula with Iron
  • A 24 Cal/fl oz iron-fortified feeding for growing, low-birth-weight infants and premature infants who may need extra protein to help support growth.
  • Use under medical supervision.

Features
  • OptiGRO™ is our exclusive blend of DHA, lutein and vitamin E: these important ingredients are found in breastmilk. 
    • DHA for brain development.
    • Lutein to support eye health.
    • Vitamin E, an important nutrient found in breast milk to support developing cells.
  • 3.3 g of protein/100 Cal, 10% more protein than Similac Special Care 24 with Iron.
  • Designed as a liquid option to meet the higher protein needs of very-low-birth-weight preterm infants.
  • When fed at 120 Cal/kg/day, meets the recommended 4 g protein/kg/day for very-low-birth-weight infants.1,2,3,4
  • Lutein, a carotenoid naturally found in colostrum and human milk, has been shown to help support eye development of the preterm infant.5,6,7,8
  • Calcium: phosphorus content and ratio (1.8:1) supports intrauterine accretion rates.9
  • Approximately 2 mg iron/kg body weight per day when fed at 120 Cal/kg body weight per day.
  • Halal.
  • Kosher.
  • Gluten-free.

Precautions

  • Very-low-birthweight 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 distension, abnormal stools or stool patterns, or other signs of intestinal dysfunction have been associated with enteral feeding before the intestinal tract is ready to accomodate the regimen. At first signs 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 physician.
  • Never use a microwave oven to warm formula. Serious burns can result.
1 Ziegler EE. J Pediatr Gastroenterol Nutr 2007;45:170-174.
2 Klein CJ. J Nutr 2002;132:1395S-1577S.
3 Kleinman RE (ed). Pediatric Nutrition Handbook, 6th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2009.
4 Canadian Pediatric Society, 1996.
5 Canfield LM, et al. Eur J Nutr 2003;42:133-141.
6 Schweigert FJ, et al. Eur J Nutr 2004;43:39-44.
7 Patton S, et al. Lipids 1990;25:159-165.
8 Rubin LP, et al. J Perinatol 2011;32:418-424.
9 Mize et al. Am J Clin Nutr 1995;62:385-391.
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Availability
List Number Item
56271 Similac Special Care 24 High Protein / 2-fl-oz (59-mL) bottle / 48 ct

Nutrition

Unflavored Ready to Feed


  • Similac Special Care 24 High Protein / 2-fl-oz (59-mL) bottle / 48 ct

Serving Size: 100 Cal

Amount Per Serving % DV % RDI
Characteristics
Protein, % Cal: 13    
Protein Source: Nonfat milk, whey protein concentrate    
Fat, % Cal: 47    
Fat Source: Medium chain triglyerides, soy, and coconut oils (0.25%, 0.40% ARA)    
Fat Ratio: 50:30:18    
Carbohydrate, % Cal: 40    
Carbohydrate Source: Corn syrup solids, lactose    
Carbohydrate Ratio: 50:50    
Osmolality, mOsm/kg H2O: 280    
Nutrient Data
Calories: 100    
Volume, mL: 124    
Protein, g: 3.3    
Fat, g: 5.43    
Carbohydrate, g: 10.0    
Water, g: 109    
Linoleic Acid, mg: 700    
Potential Renal Solute Load, mOsm: 29.5    
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 (Folacin), mcg: 37    
Pantothenic Acid, mcg: 1900    
Biotin, mcg: 37    
Vitamin C (Ascorbic Acid), 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: 2    
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: 13    
Protein Source: Nonfat milk, whey protein concentrate    
Fat, % Cal: 47    
Fat Source: Medium chain triglyerides, soy, and coconut oils (0.25%, 0.40% ARA)    
Fat Ratio: 50:30:18    
Carbohydrate, % Cal: 40    
Carbohydrate Source: Corn syrup solids, lactose    
Carbohydrate Ratio: 50:50    
Osmolality, mOsm/kg H2O: 280    
Nutrient Data
Calories: 812    
Volume, mL: 1000    
Protein, g: 26.8    
Fat, g: 44.07    
Carbohydrate, g: 81    
Water, g: 885    
Linoleic Acid, mg: 5681    
Potential Renal Solute Load, mOsm: 240    
Vitamins
Vitamin A, IU: 10144    
Vitamin D, IU: 1217    
Vitamin E, IU: 32.5    
Vitamin K, mcg: 97.4    
Thiamin (Vitamin B1), mcg: 2029    
Riboflavin (Vitamin B2), mcg: 5032    
Vitamin B6, mcg: 2029    
Vitamin B12, mcg: 4.46    
Niacin, mcg: 40578    
Folic Acid (Folacin), mcg: 300    
Pantothenic Acid, mcg: 15419    
Biotin, mcg: 300    
Vitamin C (Ascorbic Acid), mg: 300    
Choline, mg: 81    
Inositol, mg: 325    
Minerals
Calcium, mg: 1461    
Calcium, mEq: 72.9    
Phosphorus, mg: 812    
Magnesium, mg: 97.4    
Iron, mg: 14.6    
Zinc, mg: 12.17    
Manganese, mcg: 97    
Copper, mcg: 2029    
Iodine, mcg: 49    
Selenium, mcg: 16.2    
Sodium, mg: 349    
Sodium, mEq: 15.2    
Potassium, mg: 1047    
Potassium, mEq: 26.8    
Chloride, mg: 657    
Chloride, mEq: 18.6    


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Ingredients

Unflavored Ready to Feed


  • Similac Special Care 24 High Protein / 2-fl-oz (59-mL) bottle / 48 ct

Water, Nonfat Milk, Corn Syrup Solids, Medium-Chain Triglycerides, Whey Protein Concentrate, Lactose, Soy Oil, Coconut Oil. Less than 0.5% of the Following: C. Cohnii Oil, M. Alpina Oil, Beta-Carotene, Lutein, Calcium Phosphate, Ascorbic Acid, Potassium Citrate, Calcium Carbonate, Soy Lecithin, Monoglycerides, Magnesium Chloride, m-Inositol, Sodium Citrate, Carrageenan, Potassium Hydroxide, Ferrous Sulfate, Choline Bitartrate, Taurine, Choline Chloride, Niacinamide, L-Carnitine, Zinc Sulfate, Potassium Chloride, Salt, Potassium Phosphate, d-Alpha-Tocopheryl Acetate, Calcium Pantothenate, Vitamin A Palmitate, Cupric Sulfate, Riboflavin, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Folic Acid, 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).
Contains milk and soy ingredients.
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Preparation

  • Can be mixed to a variety of caloric densities using the Liqui-Mix® System. Follow physician's instructions.

  • Ready to Feed

    The health of the infant depends on carefully following the directions for preparation and use. Proper hygiene, handling and storage are important when preparing infant formula.
    • Do not add water.
    • Shake very well.
    • Do not use if breakaway ring is missing or broken.
    • Twist off cap.
    • Pour desired amount into feeding container (Volu-Feed or syringe) or attach clean, single-use nipple and ring (not included).
      • Use sterile nipple and ring if directed.
    • Once oral feeding begins, use within one hour or discard.
    • If signs of intolerance develop, slow feeding or discontinue.


Storage & Handling

  • Ready to Feed
    • Avoid prolonged exposure of bottles to light.
    • Store unopened at room temperature; avoid extreme temperatures.
    • For mixing: pour, recap, refrigerate and use within 24 hours.
    • Do not reuse bottle.



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