SIMILAC Special Care-24 CAL

Product SKU: 56271-054-001-ABBN
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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.
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About this item


  • OptiGRO™ is our exclusive blend of DHA, lutein and vitamin E: these important ingredients are found in breast milk.
    • 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 health in the 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.


  • 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.


  • 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.
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.