Primary Care Voice

Kulmeet Kundlas M.D.

Primary Care Voice With Kundlas M.D. is your dedicated space for delving into the intricate world of Primary Care. Hosted by the experienced and compassionate Primary Care Physician, Dr. Kulmeet Kundlas, this podcast sets out to bridge the gap between medical professionals and patients, unraveling the intricacies of healthcare. In each episode, Dr. Kundlas and his expert guests dive deep into essential topics that encompass everything from preventive measures and chronic and acute disease management to cutting-edge telemedicine innovations, nurturing patient relationships, and staying updated on the latest medical trends

  1. 2D AGO

    Thyroid Tests Lying to You? Check Your Medications

    Abnormal thyroid function tests affect patients taking common medications, hormone therapies, and over-the-counter supplements. It is commonly associated with estrogen therapy, birth control pills, testosterone replacement, biotin supplements, opioid pain medications, and amiodarone use. If untreated or unrecognized, it increases the risk of misdiagnosis, unnecessary thyroid medication, chronic fatigue, and metabolic dysfunction. [Visual Aid: Diagram showing thyroid regulation pathway — hypothalamus → pituitary → thyroid → T4/T3 binding and conversion — with interference points labeled for each medication category] Q: Can birth control pills affect thyroid blood test results? A: Yes. Estrogen-containing medications increase thyroid-binding globulin levels, which can alter your total thyroid hormone readings and lead to confusing results. Q: Does biotin supplementation interfere with thyroid lab tests? A: Yes. Biotin is a well-known cause of thyroid test interference. It can falsely alter TSH and thyroid hormone levels. Most labs recommend stopping biotin 48–72 hours before testing. Q: Why do opioid pain medications cause fatigue related to thyroid function? A: Medications like hydrocodone, oxycodone, and methadone can impair the conversion of T4 to the active T3 hormone, effectively slowing down metabolism and causing persistent tiredness. Q: Can testosterone replacement therapy change thyroid test results? A: Yes. Androgens and testosterone replacement decrease thyroid-binding globulin, which can lower total thyroid hormone levels on blood work even when thyroid function is actually normal. Q: What is the difference between a true thyroid disorder and medication-induced abnormal results? A: A true thyroid disorder involves dysfunction of the gland itself, while medication-induced changes affect how thyroid hormones are bound, converted, or measured in the blood without actual gland disease. Educational content by a board-certified primary care physician. Based on current clinical guidelines and peer-reviewed evidence. This content is for education only and does not replace medical care. Pinned Comment Suggestion: "Have you ever had an abnormal thyroid test that turned out to be caused by a medication or supplement? Share your experience below — it might help someone else avoid unnecessary worry."

    7 min
  2. JAN 4

    Ivermectin for COVID: What 8000+ Patients Trail Actually Showed

    During the COVID-19 pandemic, few topics created more confusion and emotional debate than ivermectin. Many people felt frustrated, conflicted, and unsure whom to trust—and that reaction was completely understandable. As a primary care physician who managed a COVID floor single-handedly for 11 months, I personally experienced these debates and had countless discussions with specialists across disciplines. For a long time, the confusion around ivermectin was not clearly settled. In this video, I explain: Why early laboratory (Petri dish) studies showed promise Why those doses were not achievable or safe in humans How social media amplified misinformation What early observational studies showed—and their limitations Why large, well-designed clinical trials were necessary Two major studies are discussed: Pilot laboratory studies conducted outside the U.S. The large PRINCIPLE trial in the UK, involving over 8,000 patients Across all key clinical endpoints—prevention of infection, reduction in severity, hospitalization, mortality, and long COVID prevention—ivermectin did not demonstrate benefit at safe human doses. I also address: Why high doses would cause serious neurological and metabolic complications How modern research tools, including artificial intelligence, have improved drug development Why the medical community continued investigating ivermectin despite public disappointment Finally, I share updates on ongoing ivermectin research in cancer, including breast and colon cancer trials in Florida. As of now, no data has been released, but I will continue to report new evidence as it becomes available. My goal is not to dismiss concerns, but to present transparent, evidence-based information so patients can make informed decisions.

    8 min
  3. 12/24/2025

    DOCTOR WARN TO BRACE FOR BRUTAL VIRUS SEASON 2026

    Are we facing a Flu Crisis? Is it too late to get the Flu Shot? In the past few days, I’ve received numerous calls and messages asking the same urgent questions: 👉 What exactly is happening this flu season? 👉 And is it already too late to get vaccinated? In this updated video, I explain the current respiratory illness crisis we’re seeing across the United States and why hospitals and emergency rooms are under increasing pressure. 🔹 What’s happening right now? We are experiencing a “Tripledemic” — a surge of: Influenza (Flu) RSV (Respiratory Syncytial Virus) COVID-19 All three illnesses present with similar symptoms and compete for the same healthcare resources, overwhelming hospitals, isolation rooms, and medical staff—especially in high-density and senior-living communities. 🔹 Why is the flu particularly concerning this year? Influenza Type A is the dominant strain The virus has undergone antigenic drift, meaning it has slightly changed from what scientists predicted Even vaccinated individuals may still get flu — but with far less severe illness 🔹 Is it too late to get a Flu Shot? Absolutely not. The best time to get vaccinated was yesterday The second-best time is today Even now, vaccination can significantly reduce severity, hospitalization, and complications Seniors should specifically request the high-dose or adjuvanted senior flu vaccine 🔹 Who should consider RSV vaccination? Adults 60 and older, or younger individuals with conditions such as: Diabetes Heart, lung, kidney, or liver disease High blood pressure 🔹 Practical advice if you get sick Stay home and follow universal precautions Hydrate well and rest Contact your primary care physician early (televisits are often enough) Protect seniors and vulnerable family members from exposure 🔹 No panic — but be proactive While there’s no reason to panic, flu remains a preventable disease, and the recent loss of children to flu is deeply concerning. Vaccination, early treatment, and responsible precautions can save lives. 🔹 Complete protection for respiratory season With: Flu vaccine RSV vaccine COVID vaccine Pneumonia vaccine (if eligible) You can be well protected throughout the respiratory season. I’ve been practicing medicine for 29 years, and I’ve seen these patterns before. My goal is not to create fear—but to help you stay informed, proactive, and safe. 📌 Have questions? Please leave them in the comments. 📌 Stay safe. Stay informed. Get vaccinated. — Dr. Kundlas

    7 min

About

Primary Care Voice With Kundlas M.D. is your dedicated space for delving into the intricate world of Primary Care. Hosted by the experienced and compassionate Primary Care Physician, Dr. Kulmeet Kundlas, this podcast sets out to bridge the gap between medical professionals and patients, unraveling the intricacies of healthcare. In each episode, Dr. Kundlas and his expert guests dive deep into essential topics that encompass everything from preventive measures and chronic and acute disease management to cutting-edge telemedicine innovations, nurturing patient relationships, and staying updated on the latest medical trends