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I don’t think it’s ich, but it is a possibility.@HotRocks @4FordFamily
It doesn't look like Ich to me (though your history is troublesome for it) but let's see if we can get some more knowledgeable eyes on it.
Could be flukes but the appearance isn't clear for that though. That would be a best case scenario as that's the only disease I can think of with a reef safe treatment.

