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anyone know what this is? What to do?
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Any luck on ick treatment solution products?
This is 100% true. Your fish is doomed without treatment of all the fish and the tank being run fallow 76 days, unfortunately.Fwiw, ich management does not usually work out well for acanthurus tangs...especially the powder blue :/
ALso a new strange spot on his cheek
Probably a secondary bacterial infection forming from where the parasites have been feeding/inflicting damage.
Highly disagree with the first sentence, acanthurus tangs cannot be kept in ich management situations successfully.as long as he is eating you are in the fight. get some fortified foods like Rod's or LRS to keep his immune system up. A QT can be as simple as a 20gal, a foam filter and some PVC fittings for cover. Keep us updated. I would be interested in what your experience is with the ruby stuff. I also agree the spot is likely a secondary infection. That is quite common in tandem with the ick.