President Donald Trump has announced a new nominee for U.S. Surgeon General: Dr. Casey Means, a physician and health advocate known for her work on metabolic health and chronic disease prevention. The decision follows growing speculation that previous nominee Dr. Janette Nesheiwat’s candidacy was being reconsidered.

In a statement posted to Truth Social, Trump said, “Dr. Casey Means has impeccable ‘MAHA’ credentials” — referencing his “Make America Healthy Again” initiative — and added that she would work closely with Health and Human Services Secretary Robert F. Kennedy Jr. to implement his administration’s chronic disease reversal agenda.

“Her academic achievements, together with her life’s work, are absolutely outstanding. Dr. Casey Means has the potential to be one of the finest Surgeon Generals in United States History,” Trump wrote.

Dr. Means is a Stanford-trained physician and co-founder of Levels Health, a metabolic health startup that focuses on glucose monitoring and lifestyle intervention as key tools for preventing chronic illness. Her brother, Calley Means, a former political strategist turned wellness entrepreneur, celebrated the announcement in a social media post, sharing videos of her past commentary on the chronic disease epidemic and calling it “an existential crisis.”

The nomination marks a significant pivot in the administration’s public health approach. While Dr. Nesheiwat, an emergency medicine physician and frequent Fox News commentator, had earned praise from many conservatives for her media presence and medical background, Dr. Means brings a more tech-forward, preventive health strategy into the spotlight.

Nesheiwat confirmed she would remain within the administration in a senior role at HHS, writing on X: “I am looking forward to continuing to support President Trump and working closely with Secretary Kennedy in a senior policy role to Make America Healthy Again!”

The change comes amid a string of major appointments across the Trump administration, including the recent nomination of Mike Waltz — previously national security adviser — as ambassador to the United Nations. Waltz is reportedly Nesheiwat’s brother-in-law, according to CBS News.

Dr. Means’ nomination reflects Trump’s broader health initiative aimed at reducing the nation’s chronic disease burden, a platform that has gained traction within conservative circles in recent months. The president has increasingly emphasized nutrition, lifestyle-based medicine, and decentralizing pharmaceutical control over national health policy.

With Robert F. Kennedy Jr. at HHS, Casey Means as Surgeon General, and a slate of appointments rejecting Big Pharma orthodoxy, Trump is sending a clear message that his second term will upend the public health establishment — and bring the focus back to preventive care and patient freedom.

This is a developing story. RedState will continue to provide updates as the nomination process unfolds.