If your vitachem is fresh enough, Vitamin C can be oxidized very quickly (They even start oxidized before you open the bottle or bags) and become lower contents than it wrote.
So I would try much water change and change vitamin soources before try any surigical treatments.
I didn't think about that, but now that you mention it... the vitachem has darkened a bit from when I first got it. I think you're right in that the vitachem may be too oxidized.
Any suggestions for other vitamin C sources? Should I crush and dissolve vitamin c pills to soak the tilapia in?