Our study tanks were bare bottom with live rock for passive biofiltration. The presumption was that the carbon fines were an external irritant, so we didn't consider that they would eat the fines and cause HLLE that way, so we didn't look at the feces.
The two competing studies (ours and Disney's) both concluded that carbon causes HLLE in surgeonfish, but neither of us were able to prove the secondary hypothesis of "why". Disney thinks it was due to an interaction of heavy metals and carbon. We think it is due to the physical presence of carbon fines.
Some months after our study, a researcher told me that he had isolated carbon fines from a surgeonfish with HLLE, using an electron microscope. I cannot confirm that though. I think the Disney study missed the mark by implicating heavy metals - their idea is that heavy metals bind with organic materials, reducing their toxicity, but by adding carbon, that removes the organics, freeing up the heavy metals, that in ionic form, are more toxic. The trouble I have with that is that our experimental tanks were freshly set up and did not have high organics, or any extra heavy metals. Besides, my understanding is that carbon removes the bound organic/metal compounds at the same time, and doesn't split the bond and just remove the organics.
Jay