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Gesundheitgelbstopf
Definitely not the case at all, it’s due to diet. I run it 24/7 in my tank with a blue hippo and clowns and a bunch of other fish there fine but I do feed a well rounded varied diet and feed the tank 4/5 times a dayI took my carbon out. I firmly believe it was what was giving my clownfish HLLE. Once I removed it, the holes healed up within a couple of months and haven't come back. Activated carbon is known for being a cause of HLLE.