Apologia recommends that Exploring Creation with Health and Nutrition, 2nd edition, be studied at the same time as biology in 9th grade. This is not a requirement, however. A maturity level, whether it be in middle school or high school, that is able to comprehend and sensibly discuss a whole-health course covering mature topics such as human sexuality and alcohol and drug abuse is needed to succeed in this course. We recommend that parents preview the table of contents and sample pages (found on our website) to decide if their student is ready. This is a course which can fulfill the health course some states require for high school graduation.