If you havent seen the sticky on it yet, definitely read through this:
http://www.monsterfishkeepers.com/f...-IN-THE-HEAD-THIAMINASE-What-you-need-to-know!!!!!!
As far as treatment goes, the best thing I have found is far and away the best treatment:
http://www.drsfostersmith.com/product/prod_display.cfm?c=3578+4615+13940&pcatid=13940
Just follow the instructions for dosage and daily water changes.
As far as the sticky goes, it basically says malnutrition is the main cause, although there are also specific triggers. The sticky covers those well but there is also a lot of talk about carbon being a cause. I read quite a few publications (which I no longer have the links to) and a few studies confirm carbon will accelerate HITH. Without going into too much details, they studied tanks with similar fish and similar conditions, 1 set with no carbon, 1 set with cheap carbon and 1 set with high quality hard carbon. The tank with no carbon had no fish with HITH, the tank with hard carbon had a few isolated cases of HITH and the tank with crap carbon had almost all fish with noticeable HITH. From the reading I have done, I dont think carbon itself causes it, but I think carbon breaking down does. As carbon deteriorates, it transports bad organics and such back into the water. I believe this contacts the fish, and can be a trigger. I could be wrong, but anyhow I'd avoid carbon in general, not just while treating with medications, but avoid it in general
http://www.monsterfishkeepers.com/f...-IN-THE-HEAD-THIAMINASE-What-you-need-to-know!!!!!!
As far as treatment goes, the best thing I have found is far and away the best treatment:
http://www.drsfostersmith.com/product/prod_display.cfm?c=3578+4615+13940&pcatid=13940
Just follow the instructions for dosage and daily water changes.
As far as the sticky goes, it basically says malnutrition is the main cause, although there are also specific triggers. The sticky covers those well but there is also a lot of talk about carbon being a cause. I read quite a few publications (which I no longer have the links to) and a few studies confirm carbon will accelerate HITH. Without going into too much details, they studied tanks with similar fish and similar conditions, 1 set with no carbon, 1 set with cheap carbon and 1 set with high quality hard carbon. The tank with no carbon had no fish with HITH, the tank with hard carbon had a few isolated cases of HITH and the tank with crap carbon had almost all fish with noticeable HITH. From the reading I have done, I dont think carbon itself causes it, but I think carbon breaking down does. As carbon deteriorates, it transports bad organics and such back into the water. I believe this contacts the fish, and can be a trigger. I could be wrong, but anyhow I'd avoid carbon in general, not just while treating with medications, but avoid it in general
