Background: Adolescence, a dynamic period spanning from childhood to adulthood, is marked by heightened nutritional requirements to support burgeoning growth and maturation. However, a significant proportion of adolescent girls globally face nutritional deficits, with iron deficiency anemia (IDA) and undernutrition emerging as particularly pressing concerns. The coexistence of IDA and undernutrition in adolescents creates a complex and insidious challenge . Objective:The prevalence of iron deficiency anemia (IDA) and undernutrition among adolescents is a critical public health concern with far-reaching implications for individuals, communities, and nations. Material and methods The study included adolescents aged 10-19 years attending the pediatric outpatient and inpatient departments, as well as those participating in medical camps. Both affluent and poor socioeconomic strata were represented. Adolescents with diagnosed hemolytic anemia,malaria, aplastic anemia, leukemia, or other systemic conditions causing anemia were excluded. Results and conclusion In 450 individuals, anemia prevalence was assessed based on hemoglobin levels, revealing that 14% of males and 17% of females fell below the respective thresholds (13g/dl for males and 12g/dl for females). Overall, the study indicates an anemia prevalence of 15.5% within the sampled population. The overall prevalence of under nutrition for the entire population stands at 14% for stunting and 12% for thinness. These findings underscore the importance of gender specific considerations in addressing nutritional challenges. P-values suggest a potential association between height (Mann-Whitney test, p = 0.035) and weight (Mann-Whitney test, p = 0.021) with IDA.