On this, we are in complete agreement. CP by the way, is excellent for velvet, but is useful primarily once velvet is recognized and by that time it may already be too late.
I think we agree on more than you think, I just like to list a few more options if there are. Also each method has its limitations and possible failure points, even TTM. It is important to know and acknowledge those.
I also prefer to take a closer critical look at research papers - they all are flawed in one way or the other due to their need to restrict things. But how you ask a question already determins the kind of answer you are getting. This applies especially to the immunity research on ich and other protozoan parasites. The findings are good, but not necessarily all including. So I never take their findings straight as the word of god but rather also compare it to my own observations and those of others here. And that indicates to me that most, if not all fish are capable of acquiring full immunity given that they are fit and in a low stress environment. The last point is the key here - low stress environment! Unfortunately too many hobbyists go more by which fish they want and not by which fish they actually can keep (I've been guilty of that myself). Also too many do not even try to adjust to the most basic needs of the fish.
So it is no surprise to me that many are in a constant battles with ich while others have no issues at all despite even forgoing quarantine (though forgoing quarantine is one thing I would never advocate).
I would also not advocate to a novice to let their fish fight it out with ich, but rather prevent ich from getting into their system.
Have you tried using acriflavine in lieu of formalin? A LFS I advise has had pretty good success using it to treat clownfish with brook, and I've used it in a bath solution to treat several fish with velvet (followed up by CP treatment.) For awhile I was testing both formalin & acriflavine on batches of fish with velvet (there's a Petco just down the road
), and my success rate was much higher when using acriflavine as the bath component (everything else was the same.) Sometimes when using formalin the fish would stop eating 3-4 days later and ultimately perish.
I've yet to try acriflavine on uronema so I cannot say whether or not it works on that.
All these diseases don't give you time to experiment. If a cure isn't working right away you usually have no time to switch methods.
That's why I rather stick to what is known to be effective and treat against these prophylactic.
Doing a short term formalin bath is just to easy to skip it and take a chance.
I've done it with juvenile Regal angels, tiny pipefish and everything else I have and so far none showed even signs of serious discomfort.
Also, as far as I can tell none of the fish stopped eating due to the formalin.
I will give Acriflavine a try, but found also reports that it failed in some cases.
The way formalin works is more blunt, but for that reason also more effective against all parasites that are on the skin (it doesn't treat ich because it is protected under the skin).
In the case of velvet, it sounds like as hobbyists, we hardly stand a chance of treating this disease even in a QT environment. If it is almost always "too late" once symptoms are seen, what is the point? Has anyone here actually cured a fish of velvet using recommended treatments once you have seen symptoms? If so, please explain what treatment you used and how long it took to cure the fish. I am (again) somewhat going through what i believe is a velvet outbreak. Even though I treated all incoming fish with a formalin dip followed by a methalyne blue dip. CP has not worked for me in the past so right now I am treating all remaining fish with Coppersafe.
Because velvet is so deadly and by the time you see it the fish is already on death's doorstep, I do a preventive formalin dip with every new fish before it goes from the bag/acclimatization container into the clean QT (=tank transfer after dip).
CP, while effective against velvet, may fail due to a variety of reasons:
- product too old
- bacteria in the tank break it down into ineffective byproducts (don't use bacterial starters with CP)
- decays under light and especially UV influence
- there is no easy hobbyist test method, so you don't know if your dosage is still right after a few hours or days
+ some fish just can't handle it and others may react negatively to long term exposure.
Copper is dicey against velvet. It may suppress it or even kill it if the dosage is right. But there are strains of velvet that have adapted to tolerate copper at doses that would kill fish. It stands to reason that due to the widespread low dose copper use in the supply chain, those copper resistant strains are likely to be just there.
Methylene Blue or Malachite Green also have side effects and are far less effective than formalin.
Almost all alternatives to formalin I'm aware off are less certain and would require rather long term exposure of the medication to the fish = more risk of log term damage.
One also needs to keep in mind that fish are only one way to get those parasites into your tank. Corals, inverts, rocks,... anything wet can bring them in as well. And all those can't be dipped.