Usually high level of nutrients specially organics.
Improve your skiming, reduce amount of feedings, run a resin to remove organics like Purigen, keep up with water changes, use activated carbon.
The feeding is probably my problem. I added a sweet lips and naso tang a couple of months ago and have been feeding alot to make sure they stay healthy. How often do you feed?
Agreed on the feeding. I have ridiculous flow and overkill skimmer in my tank and if I start getting carried away on the feeding for to long I will start to see little patches of it pop up. I just cut it back on the feeding for a while and it goes away.
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