Good question - but another poster states his 'method' is to routinely add pathogens into his tank to maintain immunity - yet - none show up. Thats Lalso a conundrum. IMHOA pathogen - of any form - is not equal with a disease. This is a very famous pictures that in a scientific way describe the relationship.
What Paul B says is that in spite of the fact that he had introduce pathogens - there was no disease that break out.
IMO - to medicate fish when not necessary is as cany disease even if there is pathogens in the aquarium. He says that he have introduced many parasites - however an E-DNA analyse could not see any trace of parasites in his aquarium. Neither could it been shown in my aquaria but I have - not as I know - introduce any. How does this comes?
The microbiome analyse of my aquarium shows that I have one known fish pathogen bacteria in my aquarium - but not any signs of a disease - how it comes?
Sincerely Lasse