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Monday 8:30am - 4:30pm Tuesday 8:30am - 4:30pm Wednesday 8:30am - 4:30pm Thursday 8:30am - 4:30pm Friday 8:30am - 12pm

Viraj V. Tirmal, MD LLC

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Burtonsville, MD
Viraj V. Tirmal, MD LLC

Dr. Viraj Tirmal offers expert, personalized care in Burtonsville, MD, serving nearby communities.

In my primary care practice, I am deeply committed to fostering a stronger doctor-patient relationship that prioritizes personalized care and understanding each individual's unique health journey. I strive to cultivate a warm and approachable environment where patients feel more empowered to actively participate in their healthcare decisions as they work to pursue better health outcomes and quality of life. As a board-certified internal medicine physician, I specialize in providing comprehensive and individualized healthcare services. My practice focuses on a wide range of health concerns, including longevity, weight loss, diabetes, cardiovascular health, nutrition, hypertension and sleep disorders. Located in Burtonsville, Maryland, my practice serves communities throughout Silver Spring, Laurel, Columbia, and Rockville. Utilizing a patient-centered approach, I aim to understand each patient's unique medical history, lifestyle and health goals, and I partner with them to tailor action plans accordingly. By combining the latest medical advancements with personalized care, I can help empower patients to take more control of their well-being and try to make more informed decisions about their health. Similar to concierge medicine practices, I also offer conveniences like same- or next-day appointments with minimal waiting. I invite you to experience a more individualized approach healthcare—one that can prioritize your needs and help foster a more collaborative partnership between physician and patient. Together, through personalized care and more proactive guidance, we can embark on a journey as you pursue improved health and well-being.

01/02/2026

New research suggests hidden infections and lingering viral fragments may be major drivers of Long COVID.

Long COVID affects millions with severe fatigue, "brain fog," shortness of breath and neurological issues. Two main ideas are emerging: immune disruption can reactivate dormant pathogens (EBV infects >95% of adults, and up to two-thirds of some Long COVID groups show EBV reactivation biomarkers), and SARS‑CoV‑2 or its fragments can persist in tissues (notably the gut), creating reservoirs that fuel chronic inflammation. This could shift care toward testing for reactivated infections and targeted treatments (antivirals, antibiotics, immunomodulators) and more personalized recovery plans. Vaccination — including boosters — significantly reduces the risk of developing Long COVID, and early antiviral treatment of acute COVID may also help.

Would you want testing for reactivated infections or viral persistence to be part of Long COVID care?

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IntroductionIn the wake of the COVID-19 pandemic, a new challenge has emerged for millions worldwide: Long COVID, a complex, lingering condition marked by persistent symptoms that can range from fatigue and brain fog to pain and heart palpitations. While medical experts have made strides in mapping....

12/28/2025

Health goals should evolve with your life — regular reviews keep them realistic and effective.

Reflect on triggers (you hit or miss targets, life changes, new diagnoses, or waning motivation), then follow a simple three-step review: Reflect (what’s working and what’s blocking you), Assess (use quantitative and qualitative markers, celebrate milestones, view plateaus as signals), and Adapt (modify goals, scale activity, swap routines, allow setbacks). Aim to review quarterly or semi‑annually — more often if you have a chronic condition or after major life events. Use tracking tools (apps, wearables, journals), set SMART goals (Specific, Measurable, Attainable, Relevant, Time‑bound — e.g., “walk briskly 20 minutes after dinner 3×/week”), practice self‑compassion, enlist accountability, and partner with your healthcare team to keep goals safe and evidence‑based.

What’s one health goal you’ll review or update this quarter, and why?

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Why Reviewing Your Health Goals MattersAs we approach the end of another year, many of us reflect on the aspirations and intentions we set for our health—some realized, others quietly sidelined as life unfolded. In my practice at 3905 National Drive, Suite 220 in Burtonsville, MD, I have seen firs...

12/24/2025

Medical cannabis: a promising tool for a few conditions — not a universal cure.

Evidence is strongest (systematic reviews/meta-analyses show consistent, often modest benefits) for chronic neuropathic pain, chemotherapy‑induced nausea/vomiting, MS‑related spasticity, and seizure reduction in certain treatment‑resistant pediatric epilepsies (e.g., Dravet). For many other uses (anxiety, insomnia, PTSD, inflammatory disorders) the evidence is weak or inconsistent. Risks include drowsiness, dizziness, cognitive effects, tolerance/dependence, withdrawal, and lung irritation with smoking/vaping; higher risk groups include adolescents, pregnant/breastfeeding people, those with psychotic disorders, and older adults. Drug interactions and variable legality/quality control mean patients should seek lab‑tested, regulated products and discuss benefits, risks, interactions, and monitoring with their clinician.

Would you consider medical cannabis if your condition had good evidence supporting it — and what concerns would you want your doctor to address first?

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IntroductionIn recent years, medical cannabis has surged in popularity and media attention, heralded by some as a miracle cure and dismissed by others as unproven hype. Patients and healthcare professionals alike are navigating a rapidly changing landscape marked by emerging research, evolving laws,...

12/21/2025

Keep moving this holiday season — consistent activity protects both physical and mental health, not just your weight.

Regular exercise supports immunity, helps manage blood pressure and cholesterol for people with chronic conditions, and eases winter blues and SAD by boosting serotonin and endorphins. When possible, get outside for fresh air and sunlight (vitamin D). Common winter barriers — cold, shorter days, social obligations, and low motivation — can be overcome by setting realistic seasonal goals (consistency over big new targets), scheduling workouts like appointments, trying fun new activities, and involving friends or family for accountability. Indoor options: bodyweight routines, HIIT, online yoga or Pilates; family ideas: dance parties, indoor obstacle courses; outdoor options when safe: brisk walks, skiing, skating — but use layered, moisture-wicking clothing, good-traction footwear, hydration, indoor warm-ups, reflective gear, and check conditions to avoid extreme cold. Finish with the simple checklist: write a goal, make a schedule, have a backup plan, involve others, and practice self-compassion.

Which one small, realistic movement goal will you commit to this week?

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The winter holidays offer opportunities for joy and connection, but they also present real challenges for maintaining your physical activity. As routines change, days shorten, and weather worsens, it becomes tempting to set activity aside “until after the holidays.” But prioritizing movement all...

12/17/2025

Antimicrobial resistance (AMR) is a growing global crisis — and patients have real power to slow it.

AMR occurs when microbes evolve to survive drugs; misuse of antibiotics accelerates this. The WHO warns it could cause up to 10 million deaths a year by 2050 and cost the global economy trillions of dollars. Antibiotic stewardship — prescribing antibiotics only when needed, at the right dose and duration — is essential. Patients can help: don’t push for antibiotics for viral illnesses, never save or share leftovers, finish the full course, and ask “Is this antibiotic truly necessary?” Prevent infections with hand hygiene, vaccinations, safe food handling, and following public-health guidance.

What one change will you make today to use antibiotics more responsibly?

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Antimicrobial resistance (AMR) is one of the most urgent public health crises of our time—threatening not just how we treat infections, but the very fabric of modern medicine. From simple UTIs to pneumonia and surgical procedures, the effectiveness of antibiotics and other antimicrobials underpins...

12/15/2025

Enjoy the holidays without sacrificing flavor — small ingredient swaps, healthier cooking methods, and mindful portions let you savor traditions while staying nourished.

Bake or air‑fry foods like latkes, choose whole grains and plant‑based ingredients for stuffing, and pick lean proteins (salmon, pork tenderloin) with colorful roasted vegetables. Swap refined sugar in cranberry sauce for fresh fruit, dates, or a touch of honey; use whole wheat or almond flour; replace heavy cream with Greek yogurt or unsweetened almond milk; and use applesauce or avocado to cut added fats in baking. Favor roasting, grilling, and steaming, season with citrus, herbs, and spices, and practice portion control (smaller plates, half veggies, eat slowly, try a post‑meal walk). The guide also offers plant‑based, allergen‑ and diabetic‑friendly alternatives and stresses meal planning, contributing a healthy dish, and self‑compassion over perfection.

Which swap or mindful habit will you try at your holiday table this year?

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The holiday season brings cherished traditions, lively gatherings, and beloved dishes. But balancing enjoyment and wellness can be a challenge amid indulgent feasts and sugary treats. As a primary care physician committed to your year-end health priorities, I invite you to explore actionable ways to...

12/10/2025

Shingles vaccine may lower dementia risk — a simple shot with big brain benefits.

Recent large studies show people who got the shingles vaccine were about 20% less likely to be diagnosed with dementia over 7 years, and among those already with dementia the vaccine was linked to a 30% lower mortality over 9 years. Researchers suggest this could be due to reduced inflammation from preventing virus reactivation, a general immune boost, and better vascular health. The CDC already recommends the shingles vaccine for adults 50+; the modern vaccine is non-live, generally safe, and usually causes only minor, short-term side effects.

Would you consider the shingles vaccine partly to protect long-term brain health?

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Dementia is an ever-increasing concern as our population ages, with millions affected each year and few interventions available to slow its relentless progression. Meanwhile, shingles, caused by the reactivation of the varicella-zoster virus, remains a common and preventable disease in older adults....

12/07/2025

Nearly half of American adults report increased stress during the holidays — you can protect your health without giving up the joy.

Identify your personal stress triggers and let go of the need for a “perfect” holiday. Practice self-care: prioritize sleep, gratitude, daily activity, and protected downtime; set clear boundaries and learn to say no. Manage overindulgence with mindful eating, moderation (set alcohol limits and alternate with water), and stepped-back time from overwhelming events. Support children with routines and emotion‑validation, and recover afterward with hydration, balanced meals (not restrictive “detox” diets), light exercise, and self‑compassion.

What one change will you try this season to reduce stress or curb overindulgence?

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The holiday season is a time of joy, connection, and reflection—but it’s also when stress and overindulgence can quietly undermine our well-being. If you find yourself juggling endless social commitments, stretching your budget, or battling the temptation of festive treats, you are not alone. Ne...

12/03/2025

Medicare is negotiating prices for 15 high-cost brand-name drugs — a major policy shift under the 2022 Inflation Reduction Act.

The second-round negotiations (started early 2025) target drugs that together account for over $40 billion in Medicare spending and serve more than 5 million beneficiaries. CMS chose drugs by total Medicare cost, required manufacturer participation (or face penalties), and is conducting formal talks through 2025; new prices take effect January 2027. This round adds more transparency and patient/advocacy input. Projected impact: about $12 billion in Medicare savings per year (nearly double round one’s $6 billion), up to $685 million less in beneficiary out-of-pocket costs in year one, and price cuts up to 44% for some therapies. Drugmakers have sued, claiming harms to innovation, while patient groups praise expected affordability gains. Practical steps for beneficiaries: watch which drugs are negotiated, review Part D plans at Open Enrollment, and talk with your clinician about treatment options and potential cost changes.

How will you prepare during Open Enrollment to protect access to the medicines you need?

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Medicare’s recent steps to negotiate prescription drug prices mark one of the most significant health policy changes in recent years—a move poised to reshape out-of-pocket costs, patient access, and pivotal aspects of our healthcare system. As a board-certified primary care physician serving the...

11/30/2025

Telehealth can be as effective as an in-person visit—if you prepare.

Telehealth boosts access, supports infection control, and helps maintain care for chronic conditions. To get the most from a virtual appointment: confirm insurance coverage (most commercial plans, Medicare, and many Medicaid programs have expanded telehealth); test your device, camera, microphone and internet; choose a quiet, well-lit private space; have your symptoms, questions, medication list and recent readings ready; practice clear virtual communication (look at the camera, speak clearly, summarize next steps); and set up troubleshooting options—keep your provider’s phone number as a backup.

What one change will you make to prepare for your next telehealth visit?

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In today’s fast-evolving healthcare landscape, telehealth is more than just a temporary convenience—it's a transformational approach for access, safety, and patient satisfaction. Whether you’re new to virtual care or looking to optimize your experience, understanding how to prepare for a teleh...

11/26/2025

Personalized prevention is the future of women’s health.

A solo concierge primary care perspective from Tirmal MD argues that care should go beyond treating disease to a lifelong, one-on-one partnership focused on prevention, mental wellness, reproductive and sexual health, and social context. Core elements: tailored screenings by life stage (20s–30s: Pap/HPV, STI prevention, breast awareness; 40s–50s: mammograms, cardiovascular risk assessment, DEXA, perimenopause care; 60+: colorectal screening, osteoporosis monitoring, cognitive checks, shingles/pneumonia vaccines), a five-step chronic-care partnership (risk assessment/genomics, lifestyle guidance, digital monitoring, education, specialist integration), routine mental-health screening and counseling, continuous reproductive care, and the blend of digital/genomic tools with holistic therapies.

How would a prevention-first, personalized care plan change your experience with primary care?

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Women’s health is a multidimensional journey, shaped by biological, cultural, and social factors unique to every stage of life. Whether you’re entering adulthood, navigating motherhood, embracing menopause, or living vibrantly into later years, comprehensive, personalized care can be transformat...

11/23/2025

You can protect your health and still enjoy the holidays.

Prioritize and plan: pick the traditions that matter most, schedule rest as non‑negotiable, and communicate limits in advance. Modify rituals to fit your needs—join virtually, delegate tasks, or create gentler traditions. Maintain health routines (medications, monitoring, sleep, nutrition) and set clear boundaries with compassion. Accept mixed emotions, stay connected or seek support, and build a trusted network including your care team. For conditions like diabetes, plan meals, monitor blood sugar, stay hydrated, and add light activity. Seek medical or mental‑health help for sudden or severe changes.

What one change will you try this holiday season to protect your health and still find joy?

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The holiday season is often a time of connection, reflection, and celebration—but for those living with chronic illness, it can also bring unique challenges. Whether you are managing diabetes, heart disease, arthritis, or another chronic condition, it’s crucial to prioritize both your physical a...

Address

3905 National Drive, Suite 220
Burtonsville, MD
20866

Opening Hours

Monday	8:30am - 4:30pm
Tuesday	8:30am - 4:30pm
Wednesday	8:30am - 4:30pm
Thursday	8:30am - 4:30pm
Friday	8:30am - 12pm

Website

http://www.tirmal-md.com/, https://pay.withcherry.com/viraj-v-tirmal-md-llc

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