Background and Objectives: Adolescent obesity is widespread around the country. Among the behavioral factors responsible for high obesity rates are unhealthy eating patterns, high levels of stress, insufficient exercise, and poor sleep hygiene. “Eating Healthy Living Healthy” (EHLH) is a collaboration program between a health educator, a physical education teacher, and a nurse practitioner, developed as a pilot program in a School Based Health Center (SBHC) to address these factors. The motto “Small Steps to Big Change” reflects the main objective of this bilingual (Spanish/English), interdisciplinary program: helping teens transform their lifestyle and eating patterns to achieve better health. It incorporates elements of conventional weight loss programs with integrative medicine modalities. Methods and Results 8 high-school volunteers (all girls) completed the entire course of the six-month program. Group sessions began as monthly events, but popularity and demand led program directors to expand the sessions to two per month. Students also had access to additional individual consultations as requested. Conventional components included a comprehensive physical examination, daily physical activity, Body Mass Index (BMI) tracking, portion control, nutritional instruction (with label reading), dietary changes (encouraging students to educate their parents), stress management, and sleep hygiene awareness and control. On day 1, students received a pedometer, food portion cups, a food diary (to record eating, exercise, and stress patterns), a stress ball, a water bottle, nutritional handouts, and healthy snacks. Integrative health components consisted of mindfulness, meditation, aromatherapy, acupressure (with acupressure seeds to help diminish appetite or control stress as needed), narrative therapy, and relaxation exercises (e.g., 4-7-8 breath). Acupressure seeds were reported to be particularly helpful in managing stress; several students asked for more seeds throughout the program. Students learned to eat mindfully, practice self-forgiving, and build self-esteem. 6 out of 8 students reported meeting the goal of modifying their lifestyle habits to achieve healthier eating and living. Conclusions and Future Directions EHLH as a combined conventional and integrative program in SBHCs holds promise. A second pilot study with an expanded version of the program is being conducted with important add-ons. First, it is co-ed with 5 boys and 5 girls. Second, a mental health component will address the stressors that numerous students from the first trial discussed as being barriers to weight loss and health. The mental health portion will explore self-esteem, depression, sleep patterns, and mind-body connection; the therapist will help students develop SMART (specific, measurable, achievable, relevant, and time-framed) goals. Students will be able to choose between mental health services and acupressure seeds for dealing with stress. Third, sessions will be held once a week. The future goal is to develop an established evidence-based curriculum from EHLH to effectively expand the program to more students and other SBHCs.