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I think it's very likely to be a swim bladder issue. Cosmetus wrasses are found anywhere from 6-100 feet according to what I'm reading online, so it's possible yours was collected in deep water and not properly decompressed.
However, before you go try something as invasive as needling why not feed him a peeled boiled pea since he is still eating? Nothing to lose by trying that first.
Alright, Do you think edamame would work? Don't have any peas around right now.
Thanks for the help by the way.



