Dizzy spells??

On an average of 8/10 runs I keep going dizzy, feeling disorientated. This causes me to stop, re-focus for around 20 seconds and then run again feeling back to normal. Sometimes it makes me feel quite sick. I have no idea what's causing this? I always make sure I eat at least an hour before and always carry water with me. I never experienced these dizzy spells pre knee problems (diagnosed last August) and now on most runs I get dizzy! I'm running the Brighton marathon and really don't wanna have to be stopping every so often because of these dizzy spells.. Anyone else suffered anything similar? Or have any idea what could be causing them? Help needed, thanks image

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