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Some people use it, some don't.

Since "bloat" is simply a symptom of many underlying diseases, there is no one perfect cure. Personally I find Clout to be overly harsh, but the fish I've treated with it were pretty sick already. I do use metro a lot in my fish room, for bloat and wasting symptoms. But, metro has poor solubility in high pH water... which makes it a bit finicky.
 

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A lot of medications say that and it has never happened to me. I always test however, and I always have multiple tanks with seasoned filters I can shift around should it occur.

I still would use metronidazole in lieu of Clout however.
 
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