Ask the Nutritionist - Concentrating Neocate

Posted 10.1.10 | Mallory West


My daughter is doing great on Neocate, but is still a bit underweight. To help her catch up, I am wondering if I should concentrate her Neocate so that it has more calories per ounce. Is this safe?


Some babies need a concentrated formula to catch up with weight gain. However, there are some concerns when concentrating an infant formula so it should only be done when medically-necessary and under the supervision of a health care professional. A formula that is too concentrated can cause diarrhea. In addition, it’s important to monitor fluid intake when concentrating formulas. Too much protein and not enough water can be harmful to a baby’s kidneys.

One alternative to concentrating formula that your doctor might consider is adding Duocal to her diet. Duocal is high in calories and fat, but is protein-free, so it won’t have the same side effects of concentrating formula. Plus, it is safe for children with food allergies! However, Duocal should also only be used under medical supervision because you still need to consider fluid intake. If you think your baby needs a concentrated formula, talk with the health care provider to determine which method of concentrating would work best for your baby.

Read Comments (2)

  • 2012-10-26 | Melissa Collins

    I was wondering, how do you mix Neonate to make it 24 calories per ounce?

  • 2012-10-31 | Rob

    Hi Melissa,

    That’s a great question! If this is something that your little one’s healthcare team has recommended, please contact us directly: phone or online chat are easiest (8:30-5 ET), but email also works. We’ll find a recipe that balances the bottle size you need with the fewest steps.

    We can be reached at:
    - (800) 365-7354
    - (click “Let’s chat online” on the left)
    - .(JavaScript must be enabled to view this email address)


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About Us

Food Allergy Living is a resource for parents of children with food allergies, brought to you by Nutricia, the makers of Neocate. For more in-depth information about our purpose & authors, see our About Food Allergy Living page.