I totally agree with this and find when whatever the result, combinations of environmental factor are often at play.It's way more complicated than just oxygen levels. Tank size, feeding regime, quality of food, stocking levels, compatibility of said stock and each hobbyists individual nitrate tolerances all play a part.
Your oxygen levels might be perfect but your fish could still become stunted if all the others issues are neglected.
In the study below, it shows how elevated nitrate effects a fishes ability o process DO.
Exposure to Nitrate Increases Susceptibility to Hypoxia in ...The University of Chicago Press: Journalshttps://www.journals.uchicago.edu › doi
or below where falling pH in combination with high nitrate works as a deleterious combination
Simultaneous exposure to nitrate and low pH reduces the ...National Institutes of Health (.gov)https://www.ncbi.nlm.nih.gov › articles › PMC6977012