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Well - if you really want my opinion - here it is:Fish also die from medication overdoses or poor water quality in treatment. There are huge risks in medicating fish that are typically ignored. These risks are particularly high for new reefers as it can be complicated to get and keep medication at the necessary levels while maintaining high water quality.
You can’t focus on the challenges of one method while ignoring the very high risks and significant challenges of the other.
Humblefish stated experienced reefers fare better with ich management than newbies. Do you honestly think this same statement doesn’t apply to treatment? Honestly?
1. It is (in some countries) extremely difficult to get any medications. which makes answering a disease question difficult in the first place.
2. If you look at research on Cryptocaryon - there are also huge risks to leaving it unchecked - especially in non- exposed fish (lets pretend a tank-raised angel, or clown, or tang)
3. People tend to mis-dose - if they have a 5 gallon aquarium - and add xxxxxxxx they assume they should dose for 5 gallons - when in fact it might be 4 gallons (thats a big percent difference)
4. People sometimes ignore - or misinterpret water quality in QT tanks (you're correct)
Unfortunately - most of the evidence is anecdotal. I have decided to fall on the side of what a public aquarium - or zoo does. I..e a biosecurity program. Is that an absolute? No. None of the potential solutions are absolute solutions. I.e. - not every fish will survive with method A vs methods B and C.
But as a matter of fact - I can focus on QT protocols - they are protocols. I.e. follow step 1, step 2, step 3. etc. If a reefer does not follow those steps (including water quality) - thats not a problem with the method.
Lastly - If you look at tanks from @Lasse, @atoll, @PaulB, etc - many of them have been reefing for decades. They know about stocking density - how to recognize when a fish is in trouble (deadly trouble) - as compared to a couple Cryptocaryon spots. They may have another disease modification system (UV/Oxydator/Diatom filter, etc). This particular poster has a 15 gallon tank with a problem. The goal was and is not to debate ich management - but rather help as quickly as possible - the OP to prevent fish loss.