Hi there, Having dizziness and seeing black dots are some signals her body is giving as reaction to extremely poor diet she is following. I understand her worries to stay slim and beautiful; however, costing her own life is not acceptable. She might be suffering of hypotension/hypoglycemia which are causing dizziness and black dots. I advise her to: - have regular meals, do not skin any - eat often and small portions to prevent dizziness episodes - eat healthy - drink more pure water - avoid coffee/energetic drinks If no improvement, she can go a pregnancy test to exclude possible pregnancy and blood work to exclude anemia. All the best! Dr.Albana