Wellness influencer, author and entrepreneur Dr. Casey Means on Wednesday was facing senators for her confirmation hearing to become the nation’s next surgeon general, a platform she said she would use to promote efforts to end chronic disease by addressing its root causes, including through dietary and lifestyle changes.

    “Our nation is angry, exhausted, and hurting from preventable diseases,” the 38-year-old said during her opening remarks in Washington before the Senate health committee. “Public health leaders must address the evidence-based, modifiable drivers of chronic diseases, which include ultraprocessed foods, industrial chemical exposure, lack of physical activity, chronic stress and loneliness, and overmedicalization.”

    She’s expected to face tough questions about her qualifications and potential conflicts. The Stanford-educated physician’s disillusionment with traditional medicine drove her to a career in which she’s promoted a wide range of products, at times without disclosing how she could benefit financially.

    “I have very serious questions about the ability of Dr. Means to be the kind of surgeon general this country needs,” Vermont independent Sen. Bernie Sanders, the ranking member of the Senate health committee, said Wednesday.

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