
Casey means She steadily worked her way to the position of president Donald TrumpIn his political orbit, he has evolved from a health entrepreneur into one of the most controversial health figures in Washington. After working closely with the US Secretary of Health and Human Services Robert F. kennedy jr During his 2024 presidential campaign, Means built a public profile around metabolic health, chronic disease prevention and health advocacy — eventually earning Trump’s nomination in May 2025 to serve as U.S. Surgeon General.
Her confirmation hearing — rescheduled from October 2025 after she went into labor — was held in February 2026, and Means faced intense questioning from lawmakers about her medical background, her inactive medical license and her positions on vaccines, pesticides and other public health issues.
Because Trump and other allies often refer to her as “Dr. Casey Means,” many Americans are wondering: What are her medical credentials, what has she said under scrutiny, and what might her leadership mean for U.S. public health?
Below, learn all about Casey’s medical experience and educational background.
Who is Casey mean?
Casey is a health influencer, and co-author of Good Energy: The Surprising Connection Between Metabolism and Infinite Health and Co-Founder and Chief Medical Officer at Levels. Given Trump’s nomination of her to be Surgeon General, Casey could serve in that position while supporting RFK Jr.
Does Casey mean a real doctor?
Yes, Casey is a doctor, but she doesn’t practice medicine. She has an inactive license and holds bachelor’s and master’s degrees from Stanford University. When she was 30, Casey left Oregon Health & Science University to pursue her pseudoscientific goals while challenging mainstream health care in America.
As her career progressed, Casey opened her own medical practice in Portland, Oregon, but her state license has remained inactive since early 2024.
While promoting her 2024 book, Casey noted in a lengthy Instagram post that “the metabolic health crisis is the biggest threat we face” in the United States. She also claimed that “the biggest lie in health care is that type 2 diabetes, cancer, heart disease, dementia, Alzheimer’s, depression, arthritis, infertility and others are entirely different diseases that require separate doctors and pills for life.”
“Chronic diseases, which account for 90% of health costs and nine out of 10 deaths, are caused by the same thing – an imbalance in the body’s basic ability to produce energy, caused by simple environmental features that have changed in just a century,” Casey added in her comment at the time.
Does Casey mean married?
Yes, Casey is said to be married to her husband, Brian Nickerson. She has kept the details of her personal life away from the public eye. She went into labor with her first child in October 2025.
Who is Kali mean?
Kali means He’s Casey’s brother, who co-wrote their book, good energy, He remained a prominent presence in his sister’s career. As a former food industry lobbyist, Calley expressed his support for RFK Jr. and the goal of “Make America Healthy Again.”

