Canadians are struggling to lead healthy lifestyles. The result is a growing prevalence of chronic conditions like diabetes and heart disease that account for 17% of all health care costs in Canada and tragically, 43% of all deaths. The CHANGE (Canadian Health Advanced by Nutrition and Graded Exercise) Program, based on evidence from diet and exercise research, focuses on long-term changes and overall well-being. It simultaneously targets the conditions that often progress to high blood pressure, heart disease, stroke, and diabetes, while reducing the need for medication. In this session, participants will hear about the implementation of the CHANGE program in various setting across Canada. The results from Alberta and British Columbia will be shared to demonstrate potential implementation strategies along with new opportunities in Ontario, Quebec and the Maritimes.