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This may suggest that your body lacks iron. With insufficient iron levels, tiredness, weakness, and dizziness may be felt. In women, it could lead to low hemoglobin levels (Hb - 11) thus giving rise to anemia. You are, therefore, required to include foods high in iron such as red meat, beans, and leafy greens in your diet to enhance your iron levels. Further advice may necessitate taking iron supplements based on the orders made by your doctor. Also, there should be regular check-ups so that suitable directions are provided and tracking done. 

A rapid drop in bhCG levels, from 389 to 280 in just two days, can be concerning. It might indicate cramping, bleeding, or even a miscarriage. However, don't panic yet—additional tests are needed. Keep your doctor informed about any new symptoms, and they will guide you on the appropriate monitoring and next steps.