Follow up with what meds? Copper? If so how do you make sure its always stable at the ppm you would have it at?
There’s some controversy regarding prophylactic treatment vs. symptomatic. TTM doesn’t treat velvet, so if you want to do TTM as a preventative for ich and then observe for 2-3 weeks after, for signs of velvet... that would be a decent plan. If you see velvet crop up during observation, you would need to treat with either copper or CP.
If the goal is to prophylactically treat for BOTH ich and velvet, then it would probably be better to just skip TTM and treat with copper instead. But again, there is some controversy here since copper is a toxin and an immunosuppressant... some feel it’s best to be only used “as needed”.
I personally follow a QT method very similar to this one:
My Current QT Process
https://r.tapatalk.com/shareLink?sh...ds/My-Current-QT-Process.483371/&share_type=t
This schedule prophylactically treats for ich, velvet, brook, uronema, flukes, and internal parasites.
It’s aggressive, but I’ve had seemingly healthy fish sneak parasites into my tank into the past using observation-only QT, so I’ve adapted this process and have been pretty successful with it.
This is my opinion, but there are opinions a plenty about what is necessary and what is not, and they range from doing nothing at all (no QT, period) to my own.