I drip this in fish pellets and also dose straight into the water as directed. I swear in just 2 weeks my Oscar started to heal. HITH is caused by several different causes, the big four of which include the hexamite parasite, poor water quality, too bland diet, and stray electrical current. The fifth reason I was sure was just a rumor but have now personally confirmed it to be true is that the carbon in the filters makes HITH worse. Just a few days after adding it for the first time in months, the symptoms returned with a vengeance and I quickly removed the charcoal and the condition stopped worsening. In my case, after eliminating parasites as a cause with metronidazole, eliminating stray current with a multimeter, and aggressively cleaning the water, I realized the main reason was that my fish needed a more varied diet and better nutrition. Don't buy this as a substitute for good nutrition but if you are in the same situation as me it will help get rid of HITH and heal the scars and pits left on my Oscar and also one of my Venezuelans. pike cichlids. I am very satisfied with this product and I say that you should try it on your fish based on my personal experience.
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