What is up with my Powder Blue Tang

Any thoughts? He has like big blotchy white spots on one side of his body. He is very skinny and continues to get more skinny even though he is eating. Is this some kind of internal parasite?
 
If you've tried Prazipro and it hasn't produced results, you might try treating with metronidazole. Needs to be administered in a QT though.
 

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