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NUTRITION

Similac® Special Care® 24 High Protein

Premature high protein infant formula with iron

Similac<sup>®</sup> Special Care<sup>®</sup> 24 High Protein

Similac® Special Care® 24 High Protein

Premature high protein infant formula with iron

SIMILAC SPECIAL CARE 24 HIGH PROTEIN is 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.

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Hospitals and institutions can order Abbott Nutrition products by calling 800-551-5838, Monday – Friday, 8:00 a.m. to 5:30 p.m. EST.

Established Abbott accounts can order online at e-Abbott.com.

Values listed below are subject to change. Please refer to the product label or packaging for the most current ingredients, allergen and nutrient profile information.

List Number Item Market
56271 Similac Special Care 24 High Protein Ready to Feed / 2 fl oz (59 mL) Bottle / 48 ct Institutional

Hospitals and institutions can order Abbott Nutrition products by calling 800-551-5838, Monday – Friday, 8:00 a.m. to 5:30 p.m. EST.

100 Cal (4.2 fl oz)

Nutrition Data

Amount Per Serving %DV
Calories 100
Volume, mL 123.22
Protein, g 3.3
Fat, g 5.43
Carbohydrate, g 10
Water, g 109
Linoleic Acid, mg 700
Potential Renal Solute Load, mOsm 29.5

Vitamins

Amount Per Serving %DV
Vitamin A, IU 1250
Vitamin D, IU 150
Vitamin E, IU 4
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

Amount Per Serving %DV
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

1000 mL (1.1 QT)

Nutrition Data

Amount Per Serving %DV
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

Amount Per Serving %DV
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 15420
Biotin, mcg 300
Vitamin C (Ascorbic Acid), mg 300
Choline, mg 81
Inositol, mg 325

Minerals

Amount Per Serving %DV
Calcium, mg 1461
Calcium, mEq 73
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
Sodium, mg 349
Sodium, mEq 15.2
Potassium, mg 1047
Potassium, mEq 26.8
Chloride, mg 657
Chloride, mEq 18.6
Features
  • OptiGRO® is our exclusive blend of DHA, lutein and vitamin E: these important ingredients are found in breast milk. <ul> <li>DHA for brain and eye development.</li> <li>Lutein to support eye health.</li> <li>Vitamin E, an important nutrient found in breast milk to support developing cells.</li> </ul>
  • 3.3 g of protein/100 Cal, 10% more protein than Similac® Special Care 24.
  • When fed at 120 Cal/kg/day, meets the average recommended 4 g protein/kg/day for very-low-birth-weight infants.<sup>1</sup>
  • Lutein, a carotenoid naturally found in colostrum and human milk, has been shown to help support eye development in the preterm infant.<sup>2,3,4,5</sup>
  • Nucleotides for immune support.
  • Calcium: phosphorus content and ratio (1.8:1) supports intrauterine accretion rates.<sup>6</sup>
  • Approximately 2 mg iron/kg body weight per day when fed at 120 Cal/kg body weight per day.
  • Gluten-free.
  • Halal.
  • Kosher made with dairy ingredients.

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 formula followed by cautious progression to higher caloric feedings.
  • Spitting up, abdominal distension, abnormal stools or stool patterns, excessive gastric residuals, or other signs of intestinal dysfunction have been associated with enteral feeding before the intestinal tract is ready to accommodate 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.
  • <B>Never use a microwave oven to warm formula.</B> Serious burns can result.

<sup>1</sup> Ziegler EE. J Pediatr Gastroenterol Nutr. 2007;45:170-174.

<sup>1</sup> American Academy of Pediatrics Committee on Nutrition. Nutritional Needs of the Preterm Infant. In: Kleinman RE, Greer FR, eds. Pediatric Nutrition. 8th ed. Itaska, IL: American Academy of Pediatrics; 2019:129.

<sup>2</sup> Klein CJ. J Nutr. 2002;132:1395S-1577S.

<sup>2</sup> Canfield LM, et al. Eur J Nutr. 2003;42:133-141.

<sup>3</sup> Schweigert FJ, et al. Eur J Nutr. 2004;43:39-44.

<sup>4</sup> Kleinman RE, Greer FR (eds): Pediatric Nutrition, 7th ed. Elk Grove Village, IL: American Academy of Pediatrics: 2014:93.

<sup>4</sup> Patton S, et al. Lipids. 1990;25:159-165.

<sup>5</sup> Canadian Pediatric Society. CMAJ. 1995;152(11):1765-1785.

<sup>5</sup> Rubin LP, et al. J Perinatol. 2012;32(6):418-24.

<sup>6</sup> Mize CE, et al. Am J Clin Nutr. 1995;62:385-91.

Unflavored Liquid

Water, Nonfat Milk, Corn Syrup Solids, Medium Chain Triglycerides, Whey Protein Concentrate, Lactose, Soy Oil, Coconut Oil. Less than 0.5% of: Schizochytrium Sp. Oil*, M. Alpina Oil†, Beta-Carotene, Lutein, Calcium Phosphate, Ascorbic Acid, Potassium Citrate, Calcium Carbonate, Soy Lecithin, Monoglycerides, Magnesium Chloride, 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, Copper Sulfate, Riboflavin, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Folic Acid, Manganese Sulfate, Biotin, Phylloquinone, Sodium Selenate, Vitamin D3, Vitamin B12, and Nucleotides (Cytidine 5'-Monophosphate, Disodium Guanosine 5'-Monophosphate, Disodium Uridine 5'-Monophosphate, Adenosine 5'-Monophosphate).
* Source of DHA.
† Source of ARA.

Contains milk and soy ingredients.

Preparation

Instructions for Use:

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.
  • Twist on nipple and ring.
  • 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.

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

Storage & Handling

Instructions for Storage:

  • 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.

Similac<sup>®</sup> Special Care<sup>®</sup> 24 High Protein

Similac® Special Care® 24 High Protein

Premature high protein infant formula with iron

SIMILAC SPECIAL CARE 24 HIGH PROTEIN is 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.

Similac<sup>®</sup> Special Care<sup>®</sup> 24 High Protein

Features

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

<sup>1</sup> Ziegler EE. J Pediatr Gastroenterol Nutr. 2007;45:170-174.

<sup>1</sup> American Academy of Pediatrics Committee on Nutrition. Nutritional Needs of the Preterm Infant. In: Kleinman RE, Greer FR, eds. Pediatric Nutrition. 8th ed. Itaska, IL: American Academy of Pediatrics; 2019:129.

<sup>2</sup> Klein CJ. J Nutr. 2002;132:1395S-1577S.

<sup>2</sup> Canfield LM, et al. Eur J Nutr. 2003;42:133-141.

<sup>3</sup> Schweigert FJ, et al. Eur J Nutr. 2004;43:39-44.

<sup>4</sup> Kleinman RE, Greer FR (eds): Pediatric Nutrition, 7th ed. Elk Grove Village, IL: American Academy of Pediatrics: 2014:93.

<sup>4</sup> Patton S, et al. Lipids. 1990;25:159-165.

<sup>5</sup> Canadian Pediatric Society. CMAJ. 1995;152(11):1765-1785.

<sup>5</sup> Rubin LP, et al. J Perinatol. 2012;32(6):418-24.

<sup>6</sup> Mize CE, et al. Am J Clin Nutr. 1995;62:385-91.

Safety 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 formula followed by cautious progression to higher caloric feedings.
  • Spitting up, abdominal distension, abnormal stools or stool patterns, excessive gastric residuals, or other signs of intestinal dysfunction have been associated with enteral feeding before the intestinal tract is ready to accommodate 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.

Availability

List Number Item
56271 Similac Special Care 24 High Protein Ready to Feed / 2 fl oz (59 mL) Bottle / 48 ct

Ingredients

Unflavored Liquid

Water, Nonfat Milk, Corn Syrup Solids, Medium Chain Triglycerides, Whey Protein Concentrate, Lactose, Soy Oil, Coconut Oil. Less than 0.5% of: Schizochytrium Sp. Oil*, M. Alpina Oil†, Beta-Carotene, Lutein, Calcium Phosphate, Ascorbic Acid, Potassium Citrate, Calcium Carbonate, Soy Lecithin, Monoglycerides, Magnesium Chloride, 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, Copper Sulfate, Riboflavin, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Folic Acid, Manganese Sulfate, Biotin, Phylloquinone, Sodium Selenate, Vitamin D3, Vitamin B12, and Nucleotides (Cytidine 5'-Monophosphate, Disodium Guanosine 5'-Monophosphate, Disodium Uridine 5'-Monophosphate, Adenosine 5'-Monophosphate).
* Source of DHA.
† Source of ARA.

Contains milk and soy ingredients.

Nutrition Information

100 Cal (4.2 fl oz)
Value%DV
1000 mL (1.1 QT)
Value%DV

Preparation

Instructions for Use:

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.
  • Twist on nipple and ring.
  • 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.

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

Storage & Handling

Instructions for Storage:

  • 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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