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Black Ram - Is this Hole in the Head


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I am not sure if my Black Ram has hole in the head. Here are some photos. 

I have had him about 7 months. 2 weeks ago I added some of plants and crystal shrimp to the tank. No signs on my other black Rams or the other fish on the tank. 

Water Parameters:

Ph 6.6, Gh 3, Kh 7, Nitrate 10 (struggle to get over 20)  I use remineralized RO


This next photo is the partial cave he has claimed as home. Maybe he is scraping against the skate edges. 

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