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Need advice on what to do
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From what I've read in the past, hyposalinity is more stressful than changing the temperature. I've never read anything about puffers so I have no idea how they do with warmer temps but I'd personally take the temp up to 85, and leave it for 2 weeks. But I am pretty new to aquariums so maybe follow responses from the pros. Good luck!If you have a hospital tank you can set up it might be worth trying something called hyposalinity, I have never tried it but heres a link that I have read about it. might help.
http://www.reefsanctuary.com/forum/index.php?threads/a-hyposalinity-treatment-process.23131/
Puffer has been in the tank since the beginningIn general, you should QT all fish. For species like puffers who are notoriously known for the ease of infestation, you absolutely have to QT them. It's also a bad idea to think that a cleaner wrasse could help. Since it's scale-less, the cleaner wrasse can really do damage to them.
Was added exact same time as clownsPuffer has been in the tank since the beginning
6 months now
If you decide to try copper on him, I would use a chelated copper product such as Coppersafe or Copper Power.
Agree 100%That's ich. I've had phenomenal success using CP on puffers: https://www.reef2reef.com/threads/chloroquine-phosphate.192309/
Tank transfer method or hyposalinity are two other options.
If you decide to try copper on him, I would use a chelated copper product such as Coppersafe or Copper Power.
Shrimp for puffer? Won't he just eat the shrimp?

