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Looks to me that it was getting beat up a bit.  The risk now is secondary infection.  Antibiotics would be a good move.  In a QT tank would be best.  I have a 20g long setup if you need to borrow it.  I have a fair amount of antibiotics as well.  

I would post your pics on humblefish.com. for expert advice. 

 

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I've used melafix on my mixed reef before with no issues to the corals or nems if you can't QT. 

They'll get pissed but that's it. 

Melafix is usually hit or miss but in my anecdotal experience it's served me well. 

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1 hour ago, The ReefBox said:

More background on your tank, and other fish???

I have 3 clowns, 3 anemone, 1 scopis, 1 sailfin, 3 dams, 1 wrasse, 1 two stripe gobie, lawnmower blennie and 2 pajamas. 55 gal, running uv sterilization. 2 canister filter, protein skimmer, in tank refugium. Only Skeletor (the tang) has the spots. And they don’t quite look like coliflower but it is solid looking chunks of white

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It looks a bit on the thin side.  I would try to fatten it up with some high quality flake food like Cobalt.  Feed it 3+ daily.  Hopefully with more nutrition, it's immune system can help it recover.

 

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16 hours ago, psychofireman said:

I have 3 clowns, 3 anemone, 1 scopis, 1 sailfin, 3 dams, 1 wrasse, 1 two stripe gobie, lawnmower blennie and 2 pajamas. 55 gal, running uv sterilization. 2 canister filter, protein skimmer, in tank refugium. Only Skeletor (the tang) has the spots. And they don’t quite look like coliflower but it is solid looking chunks of white

Wait. You have all those fish included multiple tangs in a 55g?

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2 minutes ago, psychofireman said:

Until I get a bigger tank

That's 100% your issue. Way over crowded and probably lots of aggression going on. 

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22 hours ago, psychofireman said:

AF6FB628-0FC6-4DD5-9C32-C7A7CC5A8E1F.thumb.jpeg.83bcca038140af8ce489fa2f2e93fa14.jpegthis shows the spots on it’s underbelly better

 

12 minutes ago, The ReefBox said:

Agreed on too many fish and likely getting aggression issue. I looked closer at those pics.  I think those are flukes on the tail fin. Need to freshwater dip 

Good eye, Brian. Yeah those look like flukes for sure. I'd agree with everyone else. Torn up tail looks like it's being chewed on by some tank mates. My guess would be the sail fin, but could even be the clowns or damsels. 

20210215_093955.jpg

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3 minutes ago, psychofireman said:
11 hours ago, danlu_gt said:

Any other ways to kill flukes? I tried netting  him but without out knocking over everything that isn’t working. 

You need Prazi-Pro. You can actually dose it directly into the tank (one of the very few medications that you can do that). I have some in Scappoose I could give you although it looks like you're in Vancouver. I'm not sure if there is someone or some store that is more local that might have it.

https://www.amazon.com/Hikari-Usa-AHK73254-Prazipro-Aquarium/dp/B004LOBGYA/ref=pd_lpo_199_t_0/136-7387985-0205907?_encoding=UTF8&pd_rd_i=B004LOBGYA&pd_rd_r=93dbcbe2-3777-497e-9c1a-e2c6155186ad&pd_rd_w=ikfOi&pd_rd_wg=aCls3&pf_rd_p=16b28406-aa34-451d-8a2e-b3930ada000c&pf_rd_r=YQXBGTBSH6V8ET9NFKKP&psc=1&refRID=YQXBGTBSH6V8ET9NFKKP

 

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