ok, so after reading through all these posts its pretty clear there is no clear cut answer to WHY but here is what I have noticed...
the previous owner of my aro, had it on a sole cricket diet for about 2 years and your occasional gold fish.
When I got her ( no idea if its a her but ya ), she had a casue of curled/flipped/tilted gills. But she had starting signs of DE.
Its now been 5 months since I have had her. The gills have recovered 95%. But the DE has gotten a lot worse.
I have her on a rotation diet of : fronzen shrimp, night crawlers, sticks and crickets. She is fed once a day ( that is only because, if I dont feed her daily... she starts splashing water all over the place ).
But what I have noticed is that when there is very low light, she is clearly looking down for something. And the DE looks pretty crazy. Its to a point where it just hurts to look at her. BUT when the lights are all one, she seems to look down less. Not sure if that make sense but thats what I have noticed so far.
She is about 16-18" in a 210g tank. The tank is bare bottom, with the back and bottom painted black.