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This is why I broke down my first large post on page 13 into the different options I laid out.
We basically have 3 possibilities on what people are willing to do with their fish, corals, inverts, etc. For the purpose of my post, I'm going to focus on fish though...
Option 1.
No QT, no observation, no dip, just straight in the tank after acclimation (float for temp, drip, etc).
Option 2.
Dip before going into the tank. Dip in either fresh water, a methylene blue, formalin, Rally, Hydroplex, Safety Stop, etc.
Option 3.
QT. The option most readily accepted as the best. This is what all (or almost all) of us believe one should do. But... what does QT mean exactly?
I really do think we need to look at the 4 different styles of QT I listed and discuss the pros and cons of each, and explore different ways to make each more effective. Consider making the following 4 terms common place when discuss QT options.
QT Option 1. OBSERVATION ONLY QT.
Observation only QT. If no diseases or other problems show, then the fish is released into the display after 2-6 weeks. Treatments are only done as needed. Treatments end up being disease specific, and most likely one of the 3 below.
For QT Options 2, 3, & 4 deciding on if to prophylactically treat immediately or after a 1-2 week resting period I think is also important.
QT Option 2. PROPHYLACTIC QT WITH ZERO MEDS.
Prophylactically treating everything in QT WITH ZERO MEDS, regardless of if they appear healthy or not with. Prophylactic Treatment can be either immediate or after a short resting period.
Possible treatment options:
-TTM
-Fresh Water Dips/baths
-Daily Siphoning via small water changes (Anthony Calfo method, and similar to fishery method)
-Daily Siphoning via large (50%) water changes (Steven Pro method)
-Micro Filtration: DE Filter, RO Sediment Filters, etc.
This is all based on the premise of outrunning the parasites known life cycles, and killing/harming them with the fresh water dips. Should theoretically work for Ich, Velvet, and most likely also Flukes, Brook, Black Ich and possibly more (Uronema marinum & other protozoa).
If Uronema marinum, Fungi, bacteria, other protozoa, Flukes, Internal parasites, and/or intestinal worms become an issue then the usage of meds such as those listed in QT Option 3 and QT Option 4 become needed.
QT Option 3. PROPHYLACTIC QT WITH NON-TOXIC/MILD MEDS.
Prophylactically treating everything in QT WITH Non-Toxic/Mild MEDS and other remedies, regardless of if they appear healthy or not with. Prophylactic Treatment can be either immediate or after a short resting period.
I say non-toxic/mild meds and other remedies because the ones listed to my knowledge aren't carcinogenic, poisonous, don't cause feeding issues, or known to harm the immune system.
Possible treatment options:
-TTM
-Fresh Water Dips
-Daily Siphoning via small water changes (Anthony Calfo method, and similar to fishery method)
-Daily Siphoning via large (50%) water changes (Steven Pro method)
-Micro Filtration: DE Filter, RO Sediment Filters, etc.
-H2O2
-Methylene Blue
-Antiseptics (like Acriflavine, such as Ruby Reef Rally)
-Probiotics
-Vitamins
-Herbal Remedies
Again, is all based on the premise of outrunning the parasites known life cycles, and killing/harming them with the fresh water dips and/or mild meds and other remedies. Should theoretically work for Ich, Velvet, and most likely also Flukes, Brook, Black Ich, Fungi, bacteria, and possibly more (Uronema marinum & other protozoa).
The mild meds such as Acriflavine, H2O2, Methylene Blue, and possible others would help work against those 5 parasites plus some other issues like Fungi, bacteria, other protozoa, and possibly helping for Uronema marinum.
If Flukes, Internal parasites, bacterial issues, Uronema marinum, other protozoa, and/or intestinal worms become an issue that can't be treated with mild meds, probiotics, good diet, low stress, and/or heal on their own from the fishes immune system then the usage of toxic meds become an option for treatment. This is obviously a last resort option.
QT Option 4. PROPHYLACTIC QT TOXIC MEDS.
Prophylactically treating everything in QT WITH TOXIC MEDS, regardless of if they appear healthy or not with. Prophylactic Treatment can be either immediate or after a short resting period.
I say toxic meds because the ones listed to my knowledge are either carcinogenic, poisonous, known to cause feeding issues, or known to harm the immune system.
TOXIC treatment options:
-Copper
-CP
-Praziquantel
-Metronidazole
-Formalin
-AntiBiotics
-Other meds (some may require a prescription)
Non-Toxic treatment options that can be combined with above if desired:
-TTM
-Fresh Water Dips
-Daily Siphoning via small water changes (Anthony Calfo method, and similar to fishery method)
-Daily Siphoning via large (50%) water changes (Steven Pro method)
-Micro Filtration: DE Filter, RO Sediment Filters, etc.
-H2O2
-Methylene Blue
-Antiseptics (like Acriflavine, such as Ruby Reef Rally)
-Probiotics
-Vitamins
-Herbal Remedies
Copper, CP, Praziquantel, Metronidazole, Formalin, and even possibly Antibiotics are used in some combo prophylactically and done to ensure totally elimination of any/all parasites and diseases.
This option does have the potential issues mentioned so far in this thread, such as damaged immune system, carcinogenic, poisonous, feeding problems, possible disease resistance to meds, and potentially others.
Again... to me, QT Option 4 is what is currently most often used and suggested.
QT Options 2 & 3 are my personal favorites, and what I'm most comfortable doing in my own home with my tanks.
What we can start doing, if we can get a large enough group of willing participants together, is have different groups of us try the different options and compare results. Obviously this isn't nearly as rigorous as an actual scientific study, but it could at least provide some insight into these choices.


