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Have those splotches cleared up?
If not, I suspect he has a gram negative bacterial infection and those are not just stress spots.
I would give him a 90 min acriflavine bath: https://www.reef2reef.com/threads/acriflavine.282887/
And then into QT and treat with the following antibiotics: Furan-2 + Kanaplex + Metroplex
More info: https://www.reef2reef.com/threads/antibiotics.283711/

