“You can be a supporter of MAHA and not agree with every facet of it,” Dr. Nicole Saphier said last year in an exclusive interview In the end, good energy was not enough.   Dr. Casey Means , President Donald Trump ’s second nominee for surgeon general, who rocketed to prominence in 2024 on a podcast-and-social-media-driven platform of inner peace, clean eating, and metabolic health, could not overcome the headwinds of more basic expectations for America’s top doctor.  In a Truth Social post on Thursday, Trump acknowledged that Means did not have the votes required for Senate confirmation, blaming the chair of the U.S. Senate Committee on Health, Education, Labor & Pensions, Senator Bill Cassidy, who didn’t support Means’ nomination, for being a “very disloyal person.”    Trump announced Dr. Nicole B.…