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Adolescent females are particularly at risk due to dietary patterns and menstrual blood loss. Serum ferritin is the most reliable marker of iron status. However, its interpretation and the effect of inflammation should be acknowledged. Current screening practices often focus only on individuals with symptoms or known risk factors. This paper challenges that approach and supports universal screening using haemoglobin and ferritin testing in female adolescents around the age of 14\u201315, approximately 3\u2009years post\u2010menarche. Improving detection requires making screening more accessible, adolescent\u2010friendly and connected to timely follow\u2010up care. The end result is to build a healthier adolescent female population, preparing them to become healthier adult women facing the challenges of women's manifold roles in the modern world. It is important to clarify that the value of eliminating ID extends beyond future pregnancy readiness; it is equally critical for supporting the cognitive, physical and social demands of everyday life faced by adolescent girls and young women.<\/jats:p>","DOI":"10.1111\/bjh.20243","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T02:38:22Z","timestamp":1751510302000},"page":"1242-1247","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Is it time to offer routine screening for iron deficiency in healthy adolescent females?"],"prefix":"10.1111","volume":"207","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9151-0337","authenticated-orcid":false,"given":"Shoshana","family":"Revel\u2010Vilk","sequence":"first","affiliation":[{"name":"Pediatric Hematology\/Oncology Unit and Gaucher Unit The Eisenberg R&amp;D Authority, Shaare Zedek Medical Center  Jerusalem Israel"},{"name":"Faculty of Medicine Hebrew University  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tal","family":"Ben\u2010Ami","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hebrew University  Jerusalem Israel"},{"name":"Pediatric Hematology\u2010Oncology Unit Kaplan Medical Center  Rehovot Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5480-0180","authenticated-orcid":false,"given":"Naama","family":"Constantini","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Hebrew University  Jerusalem Israel"},{"name":"Heidi Rothberg Sport Medicine Center The Eisenberg R&amp;D Authority, Shaare Zedek Medical Center  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu16203434"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32335-3"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-061666"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-020-03651-2"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14214511"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.1.104"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20032578"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpam.2019.11.001"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.blre.2023.101159"},{"key":"e_1_2_9_11_1","unstructured":"WHO.Prevention of iron deficiency anemia in adolescents.https:\/\/iris.who.int\/bitstream\/handle\/10665\/205656\/B4770.pdf2011. 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