President Donald Trump nominated Dr. Casey Means for the post of surgeon general of the USA after the withdrawal of the previous candidate Dr. Janette Nesheiwat.[1][2][5] Trump said Means has "impeccable MAHA credentials," where MAHA stands for "Make America Healthy Again," and will work with Health Secretary Robert F. Kennedy Jr. on the fight against chronic diseases.[1][2][3] Means graduated from Stanford University with a BA and MD, was class president and served on the Stanford faculty, and trained in head and neck surgery at Oregon Health & Science University.[2][3] She left surgical residency training, founded the blood sugar monitoring company Levels, and co-authored Good Energy, a book on metabolic health.[1][2][4] According to Means, approximately 93% of American adults have a poor metabolic state that contributes to diseases such as type 2 diabetes, cancer, and Alzheimer's disease.[4] As a leader, MAHA promotes the removal of chemical additives from food, healthier school meals, and the elimination of conflicts of interest in federal health agencies.[1][3] If confirmed, it will oversee 6,000 public health workers and issue health threat alerts.[3]