a GFO isn't a problem for a clam unless he is a carrier of the protozoa that cause PM ( Pinched Mantle ). i see a couple of small spots that look like PM and by removing the GFO and running carbon ( in a reactor, not passively ) we should be able to pull the Fe form the water, which should cause the protozoa to go dormant again. if it doesn't work and the conditions worsen a FWD may be come necessary but this is very stressful and more of a last resort.
i see another more predominant symptom....
how are you maintaining Ca and Alk?? is it stable???
your Alk is low for your Ca and should be gradually raised to better match. stability is very important but so is a good balance.
sorry to be a pain but can you get a couple of pictures from above, showing the whole mantle of both clams. again this is to see how far in the clams are.