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White Spot ID help


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Hi all. I’ve noticed a white spot on a rummy nose this morning, as well as a raised skin tag sort of growth behind its head. My first reaction is ich, but I’m not totally sure. The raised part behind the head is throwing me off. Activity and appetite seem normal. 
Nitrate is 20

Nitrite is 0

GH is 75

PH is 7.2

Temperature is 78


Lots of plants in the tank, so I don’t want to add salt. I do have the trio, so I could dose Ich X and Maracyn



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