Attached is a copy of my 2011 paper. You can find the second paper by searching Google for "Stamper HLLE". He published just a month before we did, same results. The ONLY nutritional study that has ever been done was by George Blasiola in the 1980's and wasn't peer-reviewed. He concluded that HLLE was caused by a lack of vitamin C. However, he moved the fish in the study. My research shows that moving the fish to a new system is one of the factors seen in remission. This carbon link goes all the way back to the late 1970's. Tom Frakes of Aquarium Systems was at a conference in Germany. They were discussing HLLE and all the proposed causes. A German Aquarium curator asked the group, why the discussion, we all know it is caused by carbon. Tom told me about that years later, and when I started seeing it myself at my facility, we stopped using carbon. No HLLE in 20+ years (well, except for the fish I infected for my study). I DO see epithelial thinning in blue tangs, but as I explained, that is a different issue. I am talking about deep pit, classic HLLE here.
Old ideas die hard, and I'm certainly not advocating feeding fish a poor diet, but the causation link has never been proven. Another issue that needs further research is if other types of dust in water can cause HLLE. After my study, a researcher out in California told me he found dust particles in the lateral lines of fish with HLLE using an electron microscope. He had no funding to continue looking into that though.
Jay