Ok, let me reword that, compare the actual nutrient levels found in your
varied diet, to those found in the pellets used in that study, and see how they stack up.
One can vary a fishes diet from now until the end of time, and still be providing a substandard level of nutrients. One can also feed a single food item (that contains a
wide variety of balanced nutrients) and keep fish thriving in captivity for many years.
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HLLE and hole in the head are probably as reversible as metabolic bone disease in lizards and amphibians, but needs to be caught early before the effects become lethal. By the time you see physical signs, it may already be too late.
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I agree.