Similac® Special Care® 24 High Protein

SIMILAC^® SPECIAL CARE^® 24 HIGH PROTEIN

High-protein, hypercaloric DHA- and ARA-enriched formula

For infants who are born prematurely and have additional nutrient needs that were not met in-utero and who may need extra protein to help support growth. Can be used as part of the Similac Liqui-Mix^TM System, to prepare customized feedings of various caloric densities. Recommended until infant reaches 3600 g (approximately 8 lb). For oral or tube feeding use. Use under medical supervision.

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Availability

Values listed 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

6635613

Similac Special Care^® 24 High Protein, Ready to Use; 59-mL plastic bottles; 48/case

Features

Hypercaloric formula (81 Cal/100 mL [24 Cal/30 mL]) with higher levels of protein, electrolytes, vitamins, and minerals per 100 Cal than standard term formula.
Approximately 10% more protein than Similac® Special Care® 24 (3.3 vs 3.0 g/100 Cal).
Calcium and phosphorus at concentrations and ratio (1.8:1) that support intrauterine accretion rates.¹
Exclusive blend of DHA, lutein, and natural vitamin E:^*
- Results of a clinical study point to protective effects of lutein on preterm retinal health and maturation.²
Approximately 2 mg iron/kg body weight per day when fed at 120 Cal/kg body weight per day.
39% of fat as medium chain triglycerides.
Supports normal growth and bone mineralization in preterm infants born at less than 33 weeks gestation.³
Improves early language^† and visual development^‡ in preterm infants.^4,§
Non-GMO.^¶
Easy to digest.^**
Gluten-free.
Kosher.
Halal.

PRECAUTIONS

Never use a microwave oven to warm formula; serious burns can result. Test temperature before feeding to avoid scalding the infant's mouth.
Not intended for feeding preterm infants after they reach a weight of 3600 g, or as directed by a physician.
Do not exceed a protein intake of:
- 4.0-4.5 g/kg/day for infants up to 1000 g (3.6-4.1 g/100 Cal)
- 3.5-4.0 g/kg/day for infants from 1000-1800 g (3.2-3.6 g/100 Cal)
If signs of intolerance develop, slow feeding or discontinue.
Not for parenteral use.

^* RRR-alpha-tocopherol, the most bioactive form of vitamin E.

¹ Mize CE, et al. Am J Clin Nutr. 1995;62:385-91.

^† Compared to infants fed Similac® Special Care® and Similac® NeoSure® infant formulas without DHA and ARA.

² Rubin LP, et al. J Perinatol. 2012;32(6):418-24.

^‡ Visual acuity measured at 4 and 6 months corrected age and assessed by VEP (visual evoked potential).

³ Groh-Wargo S, et al. Pediatr Res. 2005;57:712-718.

^§ Based on a post-hoc analysis of English-speaking singleton premature infants using the MacArthur Communicative Developmental Inventories.

⁴ O'Connor DL, et al. Pediatrics. 2001;108:359-371.

^¶ Ingredients not genetically engineered.

^** Similar to other infant formulas.

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

Preparation

Directions for Use:

Do not use if breakaway ring is missing or broken.
Use under medical supervision.
Always wash hands thoroughly with soap and water when preparing infant feedings.
- Twist off cap.
- Use clean hands to twist on nipple and ring.
Once feeding begins, use within 1 hour or discard.
Avoid prolonged exposure of bottles to light.
Store unopened at room temperature. Avoid extreme temperatures.

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

Nutrition

Unflavored Ready to Use

Similac Special Care^®24 High Protein, Ready to Use; 59-mL plastic bottles; 48/case

Serving size: 100 mL

Value

Product Characteristics

Caloric Density (Cal/mL)
0.81

Protein (% of total energy)
13.2

Protein Source
Dry or evaporated skim milk, whey protein concentrate

Fat (% of total energy)
46.8

MCT oil (% of total fats)
39.2

Omega-6:Omega-3 Ratio
6.4:1

Fat Source
MCT oil, soy oil, coconut oil, high oleic sunflower oil, M. alpina oil, Schizochytrium sp. oil

Carbohydrate (% of total energy)
40.0

Carbohydrate Source
Corn syrup solids, lactose

Total Cal:g Nitrogen Ratio
193:1

Nonprotein Cal:g Nitrogen Ratio
168:1

Water (g/L)
830

Osmolality (mOsm/kg water)
296

Renal Solute Load (mOsm/L)
245

Amount per Serving

Nutrient Data

ENERGY, Cal (kJ)
81 (340)

Protein, g
2.7

Taurine, mg
5

Carnitine, mg
4.5

Fat, g
4.4

Linoleic Acid, g
0.57

Linolenic Acid, g
0.068

Arachidonic Acid (ARA), g
0.02

Docosahexaenoic Acid (DHA), g
0.014

Carbohydrate, g
8.1

Nucleotides, mg
7.2

Vitamins

Inositol, mg
11.7

Lutein, mg
0.014

Vitamin A, IU
558

Vitamin D, IU
122

Vitamin E, IU
3.7

Vitamin K, mg
0.0097

Vitamin C, mg
11

Thiamine, mg
0.11

Riboflavin, mg
0.16

Niacin, mg
0.65

Vitamin B6, mg
0.093

Folic Acid, mg
0.026

Vitamin B12, mg
0.00019

Pantothenic Acid, mg
0.73

Biotin, mg
0.0023

Choline, mg
9.7

Minerals

Sodium, mg
39

Potassium, mg
118

Chloride, mg
66

Calcium, mg
146

Phosphorus, mg
81

Magnesium, mg
7.7

Iron, mg
1.5

Zinc, mg
0.81

Iodine, mg
0.0088

Copper, mg
0.081

Manganese, mg
0.0051

Selenium, mg
0.0037

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

Ingredients

Unflavored Ready to Use

Similac Special Care^® 24 High Protein, Ready to Use; 59-mL plastic bottles; 48/case

Water, Corn Syrup Solids, Dry or Evaporated Skim Milk, Lactose, Whey Protein Concentrate, Modiﬁed Coconut and/or Palm/Palm Kernel Oils (Medium Chain Triglycerides), Soy Oil, Coconut Oil, High Oleic Sunflower Oil, M. Alpina Oil (A Source Of ARA), Schizochytrium Sp. Oil (A Source of DHA), Soy Lecithin, Monoglycerides, Carrageenan, M-Inositol, Taurine, L-Carnitine, Cytidine 5'-Monophosphate, Disodium Guanosine 5'-Monophosphate, Disodium Uridine 5'-Monophosphate, Adenosine 5'-Monophosphate, Lutein, MINERALS (Tricalcium Phosphate, Sodium Citrate, Potassium Citrate, Magnesium Chloride, Potassium Chloride, Calcium Carbonate, Potassium Hydroxide, Ferrous Sulphate, Zinc Sulphate, Copper Sulphate, Manganese Sulphate, Sodium Selenite), VITAMINS (Ascorbic Acid, Choline Bitartrate, Choline Chloride, D-Alpha-Tocopheryl Acetate, Calcium D-Pantothenate, Niacinamide, Vitamin A Palmitate, Riboflavin, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Folic Acid, Phylloquinone, Beta-Carotene, Vitamin D3, D-Biotin, Cyanocobalamin), and As Needed: Sodium Chloride, Potassium Phosphate Monobasic.

Contains: Milk, Soy.

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

Availability

Values listed 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

6635613

Similac Special Care^® 24 High Protein, Ready to Use; 59-mL plastic bottles; 48/case

Features

Hypercaloric formula (81 Cal/100 mL [24 Cal/30 mL]) with higher levels of protein, electrolytes, vitamins, and minerals per 100 Cal than standard term formula.
Approximately 10% more protein than Similac® Special Care® 24 (3.3 vs 3.0 g/100 Cal).
Calcium and phosphorus at concentrations and ratio (1.8:1) that support intrauterine accretion rates.¹
Exclusive blend of DHA, lutein, and natural vitamin E:^*
- Results of a clinical study point to protective effects of lutein on preterm retinal health and maturation.²
Approximately 2 mg iron/kg body weight per day when fed at 120 Cal/kg body weight per day.
39% of fat as medium chain triglycerides.
Supports normal growth and bone mineralization in preterm infants born at less than 33 weeks gestation.³
Improves early language^† and visual development^‡ in preterm infants.^4,§
Non-GMO.^¶
Easy to digest.^**
Gluten-free.
Kosher.
Halal.

PRECAUTIONS

Never use a microwave oven to warm formula; serious burns can result. Test temperature before feeding to avoid scalding the infant's mouth.
Not intended for feeding preterm infants after they reach a weight of 3600 g, or as directed by a physician.
Do not exceed a protein intake of:
- 4.0-4.5 g/kg/day for infants up to 1000 g (3.6-4.1 g/100 Cal)
- 3.5-4.0 g/kg/day for infants from 1000-1800 g (3.2-3.6 g/100 Cal)
If signs of intolerance develop, slow feeding or discontinue.
Not for parenteral use.

^* RRR-alpha-tocopherol, the most bioactive form of vitamin E.

¹ Mize CE, et al. Am J Clin Nutr. 1995;62:385-91.

^† Compared to infants fed Similac® Special Care® and Similac® NeoSure® infant formulas without DHA and ARA.

² Rubin LP, et al. J Perinatol. 2012;32(6):418-24.

^‡ Visual acuity measured at 4 and 6 months corrected age and assessed by VEP (visual evoked potential).

³ Groh-Wargo S, et al. Pediatr Res. 2005;57:712-718.

^§ Based on a post-hoc analysis of English-speaking singleton premature infants using the MacArthur Communicative Developmental Inventories.

⁴ O'Connor DL, et al. Pediatrics. 2001;108:359-371.

^¶ Ingredients not genetically engineered.

^** Similar to other infant formulas.

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

Preparation

Directions for Use:

Do not use if breakaway ring is missing or broken.
Use under medical supervision.
Always wash hands thoroughly with soap and water when preparing infant feedings.
- Twist off cap.
- Use clean hands to twist on nipple and ring.
Once feeding begins, use within 1 hour or discard.
Avoid prolonged exposure of bottles to light.
Store unopened at room temperature. Avoid extreme temperatures.

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

Nutrition

Unflavored Ready to Use

Similac Special Care^®24 High Protein, Ready to Use; 59-mL plastic bottles; 48/case

Serving size: 100 Cal

Value

Product Characteristics

Caloric Density (Cal/mL)
0.81

Protein (% of total energy)
13.2

Protein Source
Dry or evaporated skim milk, whey protein concentrate

Fat (% of total energy)
46.8

MCT oil (% of total fats)
39.2

Omega-6:Omega-3 Ratio
6.4:1

Fat Source
MCT oil, soy oil, coconut oil, high oleic sunflower oil, M. alpina oil, Schizochytrium sp. oil

Carbohydrate (% of total energy)
40.0

Carbohydrate Source
Corn syrup solids, lactose

Total Cal:g Nitrogen Ratio
193:1

Nonprotein Cal:g Nitrogen Ratio
168:1

Water (g/L)
830

Osmolality (mOsm/kg water)
296

Renal Solute Load (mOsm/L)
245

Amount per Serving

Nutrient Data

ENERGY, Cal (kJ)
100 (418)

Protein, g
3.3

Taurine, mg
6.2

Carnitine, mg
5.6

Fat, g
5.36

Linoleic Acid, g
0.7

Linolenic Acid, g
0.084

Docosahexaenoic Acid (DHA), g
0.017

Carbohydrate, g
10

Nucleotides, mg
8.9

Arachidonic Acid (ARA), g
0.025

Vitamins

Inositol, mg
14.4

Lutein, mg
0.017

Vitamin A, IU
687

Vitamin D, IU
150

Vitamin E, IU
4.5

Vitamin K, mg
0.012

Vitamin C, mg
14

Thiamine, mg
0.138

Riboflavin, mg
0.192

Niacin, mg
0.8

Vitamin B6, mg
0.115

Folic Acid, mg
0.032

Vitamin B12, mg
0.00023

Pantothenic Acid, mg
0.9

Biotin, mg
0.0028

Choline, mg
12

Minerals

Sodium, mg
48

Potassium, mg
146

Chloride, mg
81

Calcium, mg
180

Phosphorus, mg
100

Magnesium, mg
9.5

Iron, mg
1.8

Zinc, mg
1

Iodine, mg
0.0108

Copper, mg
0.1

Manganese, mg
0.0063

Selenium, mg
0.0045

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

Ingredients

Unflavored Ready to Use

Similac Special Care^® 24 High Protein, Ready to Use; 59-mL plastic bottles; 48/case

Contains: Milk, Soy.

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