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NUTRITION

Similac® Special Care® 20

Premature infant formula with iron

Similac<sup>®</sup> Special Care<sup>®</sup> 20

Similac® Special Care® 20

Premature infant formula with iron

A 20 Cal/fl oz iron-fortified feeding for growing, low-birth-weight infants and premature infants. 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
56265 Similac Special Care 20 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 (5 fl oz)

Nutrition Data

Amount Per Serving %DV
Calories 100
Volume, mL 148
Protein, g 3
Fat, g 5.43
Carbohydrate, g 10.3
Water, g 133
Linoleic Acid, mg 700
Potential Renal Solute Load, mOsm 27.8

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 676
Volume, mL 1000
Protein, g 20.27
Fat, g 36.69
Carbohydrate, g 69.6
Water, g 899
Linoleic Acid, mg 4730
Potential Renal Solute Load, mOsm 188.2

Vitamins

Amount Per Serving %DV
Vitamin A, IU 8446
Vitamin D, IU 1014
Vitamin E, IU 27
Vitamin K, mcg 81.1
Thiamin (Vitamin B1), mcg 1689
Riboflavin (Vitamin B2), mcg 4189
Vitamin B6, mcg 1689
Vitamin B12, mcg 3.72
Niacin, mcg 33784
Folic Acid (Folacin), mcg 250
Pantothenic Acid, mcg 12838
Biotin, mcg 250
Vitamin C (Ascorbic Acid), mg 250
Choline, mg 68
Inositol, mg 270

Minerals

Amount Per Serving %DV
Calcium, mg 1216
Calcium, mEq 60.8
Phosphorus, mg 676
Magnesium, mg 81.1
Iron, mg 12.2
Zinc, mg 10.14
Manganese, mcg 81
Copper, mcg 1689
Iodine, mcg 41
Selenium, mcg 14
Sodium, mg 291
Sodium, mEq 12.7
Potassium, mg 872
Potassium, mEq 22.3
Chloride, mg 547
Chloride, mEq 15.5
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>
  • Lutein, a carotenoid naturally found in colostrum and human milk, has been shown to help support eye development in the preterm infant.<sup>1,2,3,4</sup>
  • Nucleotides for immune support.
  • Calcium: phosphorus content and ratio (1.8:1) supports intrauterine accretion rates.<sup>5</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> Canfield LM, et al. Eur J Nutr. 2003;42:133-141.

<sup>2</sup> Schweigert FJ, et al. Eur J Nutr. 2004;43:39-44.

<sup>3</sup> Patton S, et al. Lipids. 1990;25:159-165.

<sup>4</sup> Rubin LP, et al. J Perinatol. 2012;32(6):418-24.

<sup>5</sup> Mize CE, et al. Am J Clin Nutr. 1995;62:385-91.

Unflavored Liquid

Water, Nonfat Milk, Corn Syrup Solids, Medium Chain Triglycerides, Lactose, Whey Protein Concentrate, Soy Oil, Coconut Oil. Less than 0.5% of: Schizochytrium Sp. Oil*, M. Alpina Oil†, Beta-Carotene, Lutein, Calcium Phosphate, Ascorbic Acid, Magnesium Chloride, Soy Lecithin, Monoglycerides, Potassium Citrate, Inositol, Carrageenan, Calcium Carbonate, Sodium Citrate, Potassium Hydroxide, Ferrous Sulfate, Choline Bitartrate, Taurine, Niacinamide, Choline Chloride, 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.

Storage & Handling

Instructions for Use:

  • 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.

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 LiquiMix ® System. Follow physician's instructions.

Similac<sup>®</sup> Special Care<sup>®</sup> 20

Similac® Special Care® 20

Premature infant formula with iron

A 20 Cal/fl oz iron-fortified feeding for growing, low-birth-weight infants and premature infants. Use under medical supervision.

Similac<sup>®</sup> Special Care<sup>®</sup> 20

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>
  • Lutein, a carotenoid naturally found in colostrum and human milk, has been shown to help support eye development in the preterm infant.<sup>1,2,3,4</sup>
  • Nucleotides for immune support.
  • Calcium: phosphorus content and ratio (1.8:1) supports intrauterine accretion rates.<sup>5</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> Canfield LM, et al. Eur J Nutr. 2003;42:133-141.

<sup>2</sup> Schweigert FJ, et al. Eur J Nutr. 2004;43:39-44.

<sup>3</sup> Patton S, et al. Lipids. 1990;25:159-165.

<sup>4</sup> Rubin LP, et al. J Perinatol. 2012;32(6):418-24.

<sup>5</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
56265 Similac Special Care 20 Ready to Feed / 2 fl oz (59 mL) Bottle / 48 ct

Ingredients

Unflavored Liquid

Water, Nonfat Milk, Corn Syrup Solids, Medium Chain Triglycerides, Lactose, Whey Protein Concentrate, Soy Oil, Coconut Oil. Less than 0.5% of: Schizochytrium Sp. Oil*, M. Alpina Oil†, Beta-Carotene, Lutein, Calcium Phosphate, Ascorbic Acid, Magnesium Chloride, Soy Lecithin, Monoglycerides, Potassium Citrate, Inositol, Carrageenan, Calcium Carbonate, Sodium Citrate, Potassium Hydroxide, Ferrous Sulfate, Choline Bitartrate, Taurine, Niacinamide, Choline Chloride, 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 (5 fl oz)
Value%DV
1000 mL (1.1 QT)
Value%DV

Storage & Handling

Instructions for Use:

  • 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.

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 LiquiMix ® System. Follow physician's instructions.

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