I made the mistake of thinking I need a ich free tank for my fish to survive long term. Mainly bc I was adding a dream fish like Achilles and Powder blue tang in my new 400 gallon. So i QTed everything and purchased some QT fish and too my surprised still got ich in my tank, I paniced when my achilles had 100s of spots early on and thought it was a death sentence (this was in March), today I have all my fish and still have ich, though the achilles and powder blue have zero spots or do not scratch at all. The only fish that i see a few small spots here and there are my Hippo tang but that since getting better overtime. I lost 8 months of my tank maturing bc I went the hypo salinity route and pretty much had to start from day zero 4 months ago. My tank is almost 1 year and still no coraline algae.
I think there is a lot of truth to what Paul D (50 year old tank guy) has to say on fish disease. We are not building our fishes immune system enough to fight of these parasites naturally. For example, a new born baby has zero immunity and only builds that immunity if they are exposed to viruses. I In the ocean there is ich everywhere in high numbers and fish survive bc they are exposed to every virus in the ocean. Paul d also keeps talking about Gut bacteria and that can mean one thing, feeding whole animal parts. I started making my own frozen fishfood and by chance use something called Lake smelts, they are small inexpensive whole fish that I wonder what human would eat but felt it definitely helped bc its entire fish including their digestive tract.
Garlic 100% helps bc its not from the ocean and ich parasite tend to not like this stuff. It has anti fugal properties so in high doses it will literally prevent corals from opening their polyps. I overdid the garlic using 15 full cloves in a batch of frozen food and while the fish loved it I found it did not digest in the fish and had small white sprinkles all over their poop and the rockwork. I never thought garlic could do harm so it was the last thing I was thinking was the issue but I see why Ich parasite doesn't like it. For the past 6 week I have no garlic in my food and dont notice much of a difference so garlic is not as effective as below methods I use.
Good husbandry (Hate the term Ich management)
Good Random flow
UV Plumbed into the display is best. low to medium flow
Good frozen food (Cod or tilipia, Shrimp, Lake smelts, Mussels, etc)
Good pellet food every 2 hours
Nori sheet every other day