The preteen and teenage years are among the most nutritionally demanding stages of life for a teen girl.
If you have a teen or a preteen girl, you’ve probably noticed just how much is changing. She’s probably growing taller—seemingly overnight—sleeping more than usual, navigating her first menstrual cycle, or suddenly caring a lot more about her skin.
Behind all of these changes, her body is working overtime. Puberty places enormous nutritional demands on growing bones, developing muscles, hormone production, brain development, and, once menstruation begins, replacing the iron lost with monthly periods. While a balanced diet should always come first, adolescence is also one of the most common times for nutrient deficiencies to develop. In fact, adolescent girls are among the groups at the highest risk for micronutrient deficiencies and dietary inadequacies (1).
This article explains which nutrients matter most during teen and preteen years, why girls are especially vulnerable to certain deficiencies, and when to consider supplementation.
Why Nutrition Changes During Puberty
Puberty is one of the fastest periods of growth, aside from infancy (2). In just a few years, girls go through rapid height increases, bone mineralization, and reproductive development—all the while, the brain continues to develop throughout adolescence, laying the foundations for learning, memory, and emotional regulation well into early adulthood.
These changes increase the body’s needs for vitamins and minerals. Once menstruation begins, iron requirements rise to compensate for blood lost during monthly periods, and adolescent years also represent a critical window for building bone mass—requiring more calcium and vitamin D (2,3).
Unfortunately, many teen girls fall short of the recommended intake of iron, calcium, vitamin D, magnesium, and several B vitamins (4).
Essential Nutrients for Teen Girls at a Glance
Nutrient |
Why It Matters |
Food Sources |
Who May Need Extra Attention? |
Supports oxygen transport, energy production, immune health, and cognitive development |
Beef, poultry, seafood, eggs, lentils, beans, tofu, spinach |
Girls with heavy periods, athletes, vegetarians, vegans |
|
Builds strong bones and teeth during peak bone-growth years |
Milk, yogurt, cheese, fortified plant milks, sardines, leafy greens |
Girls who avoid dairy or follow restrictive diets |
|
Helps the body absorb calcium and supports bone health |
Fatty fish, fortified dairy products, fortified plant milks, fortified cereals |
Girls with limited sun exposure or diagnosed deficiency |
|
Supports muscle function, nerve signaling, bone health, and energy production |
Pumpkin seeds, almonds, cashews, beans, edamame, spinach, whole grains |
Girls with highly processed diets or low intake of nuts, seeds, and vegetables |
|
Help convert food into energy and support growth, brain function, and red blood cell production |
Meat, fish, eggs, dairy, legumes, whole grains, leafy greens |
Vegetarians, vegans, and selective eaters |
Iron: The Nutrient Many Teen Girls Need Most
Of all the nutrients teen girls need, iron deserves some special attention. Iron is essential for the production of hemoglobin — the protein found in red blood cells that carry oxygen throughout the body. It also supports energy, immune function, physical performance, and healthy brain development (3).
The need for iron increases substantially once menstruation starts, and girls with especially heavy periods, endurance athletes, vegetarians, and vegans may have a greater likelihood of developing an iron deficiency (3,5).
Low iron might look like fatigue, poor concentration, headaches, dizziness, pale skin, and feeling unusually cold (3). Because these symptoms tend to develop gradually, they are often mistaken for the normal physical demands that come with adolescence.
Iron-Rich Foods
Sources of iron that absorb the easiest:
Plant sources:
- Lentils
- Beans
- Tofu
- Spinach
- Pumpkin seeds
Pairing plant-based iron sources with foods that contain vitamin C—such as oranges, strawberries, or broccoli—can help with absorption (3).
For more on the importance of iron, check out these articles:
Calcium and Vitamin D: Building Strong Bones
During puberty, girls accumulate nearly half of their adult bone mass, making calcium and vitamin D essential for skeletal development during this time (2). Calcium provides the structural foundation for bones and teeth, while vitamin D helps the body to effectively absorb calcium (6). Without vitamin D, even a calcium-rich diet cannot be fully utilized by the body.
Unfortunately, many teenage girls don’t get enough of these nutrients (2). This might be due to low dairy consumption, restrictive diets, food allergies, or simply spending too much time indoors, resulting in inadequate sun exposure to stimulate the production of vitamin D.
You might also like this article: Vitamin D Deficiency & Premenstrual Symptoms
Calcium-Rich Foods
Good sources of dietary calcium:
- Milk
- Yogurt
- Cheese
- Sardines with bones
- Leafy green veggies
Vitamin D is naturally found in relatively few foods. Fatty fish like salmon and trout are some of the best sources while fortified dairy products, fortified plant milks, and fortified cereals can also help increase intake (6).
Because vitamin D can be difficult to get from food alone, supplementation might be helpful for some girls—especially those with a documented vitamin deficiency. A healthcare provider can help determine the best approach.
For more information on vitamin D sources: Top Sources of Vitamin D + Kid Friendly Recipes
Magnesium: An Overlooked Mineral for Growing Teens
Magnesium may not receive as much attention as iron or calcium, but it is involved in more than 300 enzymatic reactions throughout the body. It plays an essential role in muscle function, nerve signaling, protein synthesis, blood sugar regulation, energy production, and maintaining a normal heartbeat (7).
During adolescence, magnesium helps support healthy muscle and nerve function while working alongside calcium and vitamin D to maintain strong bones (7). Some research also suggests adequate magnesium intake may support healthy sleep and normal muscle relaxation, though more research is needed in adolescents specifically (7).
Despite its importance, magnesium is one of the nutrients many teenage girls don’t get enough of (7).
Magnesium-Rich Foods
Foods naturally rich in magnesium:
- Pumpkin seeds
- Almonds
- Cashews
- Black beans
- Edamame
- Spinach
- Whole grains
- Dark chocolate
Because magnesium is found in a wide variety of whole foods, improving dietary variety is often the best first step. However, girls with restrictive diets or consistently low magnesium intake might benefit from supplementation.
For more information on magnesium, see these articles:
Signs Your Teen Daughter May Not Be Getting Enough Nutrients
Nutrient deficiencies often develop gradually, and many symptoms can be subtle at first. While these signs do not necessarily indicate a vitamin or mineral deficiency, they may be a sign to have a conversation with your child's healthcare provider, particularly if they’re present despite a healthy lifestyle (3).
Possible signs include:
- Persistent fatigue
- Difficulty concentrating
- Frequent headaches
- Dizziness
- Feeling unusually cold
- Frequent illness
- Slow wound healing
- Brittle nails
- Hair thinning or excessive shedding
- Poor exercise performance
- Muscle cramps
- Changes in appetite
Because many of these symptoms can have multiple causes, it’s important to trust your gut when you feel that something could be wrong and speak to a healthcare provider about what may be behind them.
When Should You Consider Supplementation?
Although supplements can be helpful in certain situations, they work best when they complement—not replace—a healthy diet (2). Whole foods provide vitamins and minerals alongside protein, fiber, healthy fats, and thousands of naturally occurring plant compounds that supplements simply cannot replicate (2).
For more information on designing a supplement routine: How To Build A Thoughtful Daily Supplement Routine For Your Family
Offering a variety of fruits, vegetables, whole grains, dairy or fortified alternatives, lean proteins, legumes, nuts, and seeds is still the foundation of good nutrition during adolescence.
When nutrient gaps do exist, supplements can be an easy and effective way to help support your teen’s nutritional needs. The key is building a routine that is age appropriate, works in tandem with their diet, and meets their individual needs. Taking the recommended dosage and following product instructions can help ensure that they’re getting the nutritional support they need without overdoing it. If you have questions, or are unsure what supplements are the best fit, a healthcare provider can offer guidance.
For information on nutrients for teen boys: Why Your Teenage Son May Need More Zinc
Summary
The preteen and teenage years are among the most nutritionally demanding stages of life. Rapid growth, hormonal changes, brain development, and the onset of menstruation all increase the body's need for essential vitamins and minerals.
Iron is often the nutrient of greatest concern for adolescent girls because menstrual blood loss significantly increases iron requirements. Calcium and vitamin D help build strong bones during the years when peak bone mass is developing. Magnesium plays important roles in muscle function, immune health, skin health, and overall growth.
For many girls, eating a balanced diet rich in nutrient-dense foods will provide the vitamins and minerals they need. But for those with restrictive diets, heavy menstrual periods, food allergies, or other risk factors for deficiency, thoughtfully chosen supplements may help support healthy growth and development when taken with a nutritious diet and guidance from a healthcare provider.
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References:
- CDC. About Micronutrients. Nutrition. Cdc.gov. Published April 3, 2025. https://www.cdc.gov/nutrition/php/micronutrients/index.html
- Proia P, Amato A, Drid P, Korovljev D, Vasto S, Baldassano S. The Impact of Diet and Physical Activity on Bone Health in Children and Adolescents. Frontiers in Endocrinology. 2021;12(12). doi:https://doi.org/10.3389/fendo.2021.704647
- Cohen CT, Powers JM. Nutritional strategies for managing iron deficiency in adolescents: Approaches to a challenging but common problem. Advances in Nutrition. 2024;15(5):100215. doi:https://doi.org/10.1016/j.advnut.2024.100215
- CDC. School Health Guidelines to Promote Healthy Eating and Physical Activity. Cdc.gov. Published 2020. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6005a1.htm
- Neufingerl N, Eilander A. Nutrient Intake and Status in Children and Adolescents Consuming Plant-Based Diets Compared to Meat-Eaters: A Systematic Review. Nutrients. 2023;15(20):4341. doi:https://doi.org/10.3390/nu15204341
- Bueno AL, Czepielewski MA. The importance for growth of dietary intake of calcium and vitamin D. Jornal de Pediatria. 2008;84(5):386-394. doi:https://doi.org/10.2223/jped.1816
- Abrams SA. Bone Health in School Age Children: Effects of Nutritional Intake on Outcomes. Frontiers in Nutrition. 2021;8. doi:https://doi.org/10.3389/fnut.2021.773425