<s>[INST] My Mother - Niva Thakur, age 45 yrs, is suffering from excess bleeding from last one month. As per Ultra sound of abdomen everything is normal. As per blood test report hemoglobin is just 9% and thyroid hormones is just 7.55%. Pl advise suitable medicines. [/INST] Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. TSH level is high indicating hypothyroidism. Both hyperthyroidism or hypothyroidism can cause excessive bleeding. However, she needs to correct her thyroid levels, as it can cause various systemic complications.2. Hemoglobin of 9% is low and needs to be corrected. Possibly iron deficiency also needs to be corrected.3. She will require an endometrial biopsy to rule out any endometrial cause as ultrasound wound not identify any specific pathology. Hope it helps. Any further queries, happy to help again. </s>