<s>[INST] HI , I  AM SOMNATH GON FROM JAMTARA,JHARKHANDI AM SUFURRING FROM AUTO EMMUNE HEMOLITIC ANIMIA SCINCE 2003.AT THAT TIME BLOOD TRANFUTION HAD BEEN DONE OF 5 UNIT OF RED BLOOD.DOCTER PRESCRIBED ME STAROIED MEDICHINE AND TOLD WHEN EVER YOUR HEMOGLOBING WILL FALL DOWN TAKE THIS MEDICHINE SYSTAMATICALLY.FROM 2003 TO TILL NOW 2 OR 3 TIMES IN EVERY YEAR  HEMOGLOBING WILL FALL DOWN  AND I HAVE TO TAKE THIS COURSE.MY QUESTION IS THAT IS ANY PARMANENT REMEDY OR ANY SUGGETION FOR THIS PROBLEM.MY AGE IS 31, OCASIONALY SMOKER,NON DRINKER,MY HEMOGLOBIN RATING avg between 8.5 to9.5 mg [/INST] Hi, You need to be treated and followup regularly under a doctor with experience in treating blood disorders. Autoimmune hemolytic anemia maybe secondary to more serious underlying disorders like connective tissue disorders or lymphomas, etc. Hence, detailed investigation and also appropriate course of medicines is required. Steroids-usage by self without proper guidance can be dangerous. Take care </s>