Assessing Coral Health: An Introduction

Coral Disease Assessment: Dark Spot Syndrome with purple lesions

Even on a smaller scale than global reef decline, the ability to assess coral health is essential. I am often asked how I know where to even start to rescue corals. In my opinion, determining how healthy the coral is, or what the problem might be, is usually the first step. This is an introduction on assessing coral health to determine what might be causing the coral stress.

Assessing Coral Health for Stung Corals:

Stung Wellsophyllia Coral

Corals stung by another coral are probably the most easy to save. These corals are healthy overall, but a portion of them is damaged. As long the coral avoids infection and no further damage occurs, then healing is rather quick. When a coral “stings” another coral, the stung coral is sometimes actually “digested.” When corals have to compete for territory, they expel their digestive organs, called mesenterial filaments, and use them to digest a nearby coral. This typically results in one area of severe damage and no damage elsewhere. A coral stung this coral shown, but the remaining tissue was very healthy. You can read more about the Trachyphyllia’s recovery here.

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Lack of Proper Husbandry:

Water-Deteriorated Lobophyllia Coral

A lack of proper husbandry is typically a slow process. It can result in the tissue between polyps receding first. As shown here, portions of recent die-off right are beside healthy tissue and coralline-encrusted skeleton. With these corals, good water parameters are essential. Removal of invasive algae is also critical. These corals typically do not need much additional care. You can read more about this Lobophyllia’s recovery here.

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Assessing Poorly-Fragmented Corals:

Poorly Fragmented Euphyllia Coral

When a coral is improperly fragmented, various outcomes are possible depending on damage. Sometimes the tissue rips apart improperly, or the skeleton is crushed underneath intact tissue. As long as there is about half the polyp left, the coral typically survives with the natural healing process. This Euphyllia coral unfortunately became infected and died.

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Corals with Pest Damage or Parasites:

Acropora Coral with Parasites

Attempting to rescue an infected coral is risky, as it may infect other corals. This type of rescue requires a proper quarantine tank and medications on hand. Typically, once the pests and any eggs are removed, the coral will heal quickly on its own. Here, this infected Acropora has both Acropora-eating flatworms and red bugs (Tegastes acroporanus). With proper treatments to remove both pests, this coral made a full recovery.

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Assessing Coral Health due to Infections:

Infected Caulastrea Coral

Attempting to rescue infected corals can be dangerous, complex, and expensive. Any attempts require a dedicated hospital tank, proper supplies (including a microscope), and extensive knowledge in coral diseases and treatments. Furthermore, keeping a low expectation for coral survival is key. These infections vary by cause (e.g., bacterial, viral, fungal, ciliate, etc.), so the owner must tailor treatment to the cause. Determining the cause can be nearly impossible without the proper equipment. Any attempts also require the utmost caution, as some infections are transferable to humans. This coral shown had “brown jelly disease.”

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Bleached Corals:

Bleached

Coral bleaching also has a variety of causes, and knowledge of the cause can help determine possible solutions. Assessing a bleached coral’s health can be challenging as high light, chronic low light, high temperature, low temperature (rare cases), lack of oxygenation, and some infections can cause bleaching. Since a bleached coral is lacking its typical zooxanthallae population (the symbiotic algae that lives inside the coral’s tissues and produces food for the coral), it will need regular feedings. Unfortunately, in my experience, sometimes these corals never thrive again, even with coloration return.

The photo below shows several corals that were poisoned with household bleach. An angry customer poured it into a local fish store’s tanks, which killed all the livestock. I attempted to save everything that still had tissue, but even these corals eventually died.

Bleached Corals
Corals bleached with…bleach. These were the victims of an attack on a local fish store.

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Starved Corals:

Starving Dendrophyllia Coral

Although starvation is more commonly seen in non-photosynthetic corals (NPS), it is still possible in photosynthetic corals as well. This is more likely to occur in in ultra-low nutrient systems, also known as ULNS. Here, a Dendrophyllia coral is starving, shown by the algae-encrusted skeleton. Regular feedings are essential in these cases.

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Poisoned Corals:

Lithophyllon Coral in Quarantine

Poisoned corals usually have retracted tissue with areas of white skeleton showing. Tissue colors are usually brown or white, depending on the toxin. Any other typical colors (e.g., blues, reds, greens) are muted. This coral was poisoned by either the flatworm treatment a LFS used, or by the flatworm toxins themselves. You can read more about this coral’s amazing recovery here.

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As shown, coral health has a multitude of causes, and only a few examples were shown here. If you would like to continue learning about coral pathology, a more technical source is available on NOAA.

Dying Sarcophyton Coral Rehabilitation

Dying Sarcophyton Coral Rehabilitated

“Is this…gum? What is this? Ew!” I honestly had no idea what the off-white algae-covered blob on my rescue coral was. When I touched it, it reminded me of a leather, but there was no sign of polyps. Finally, I decided to just place it in my quarantine tank – after all, that’s what a quarantine tank is for! Turns out, I had a dying Sarcophyton coral rehabilitation on my hands.

Assessing the Coral’s Health:

Dying Sarcophyton Coral

I took in this Favia-type coral on 31 May 2020, as it had two tiny little polyps remaining (the local fish store was about to throw the entire rock into the sump, which would’ve meant death for the coral). As I was preparing the two polyps, I cut off the weird off-white algae-covered chunk in the top right of the photo. I had a million thoughts running through my head as to what it could be (e.g., is this a new type of epoxy?). But, a nagging feeling kept telling me to put it on a frag plug because it might be a dying Sarcophyton coral. It might just be a really unique rehabilitation.

Dying Sarcophyton Coral

This is a close-up of the same image above, just rotated. It seemed grown-into the coral skeleton, which made me think it could be a leather, although I did not see any polyps.

Of course, this “blob” went through my usual dip process and mounting in preparation for quarantine.

Quarantined Coral:

Dying Sarcophyton Coral

A few weeks later, on 19 June 2020, I still did not have any real new information. The algae covering it was gone, but there was still no sign of life. But, this was the day that I thought if I squinted really hard, I could start to see polyp pores in the center of the coral. Was I just getting my hopes up?

Dying Sarcophyton Coral

Just a few days shy of a month after I got the coral (and a change in tank placement), I was sure. Yes, those were polyp pores right in the center! It *is* a leather!

Dying Sarcophyton Coral

By 15 June 2020, I was totally excited! It was a “toadstool” Sarcophyton coral. The polyps were out, and I was starting to get an idea of how this coral would recover.

Dying Sarcophyton Coral

On 17 August 2020, the previously dying Sarcophyton coral was fully rehabilitated. All it needed was a healthy aquarium and a chance to live.

Coral Grow-Out:

Rehabilitated Sarcophyton Coral

Here is the coral on 15 November 2020. I think the coral agreed with me, because it started growing up rather than out. Although its stalk is hidden, it grew about an inch in height between this photo and the previous. (Although, I did move the coral just for logistics purposes).

Rehabilitated Sarcophyton Coral:

Rehabilitated Sarcophyton Coral

Even until April 2021, the coral was only really growing up. The stalk in the photo was about four inches tall (it would’ve been growing out of the water in its previous location, so I had to move it again).

Although it is not the most colorful or unique coral, it is still attractive, hardy, and would make a great addition to a new hobbyist’s aquarium. I plan to keep this coral in my collection for fragging, so that the story of this previously dying Sarcophyton coral rehabilitation will be passed on hopefully for generations.

Dying Sarcophyton CoralRehabilitated Sarcophyton Coral

Dying Acropora Coral Rehabilitation

Acropora Rehabilitation Before and After

Back in 2012, I took in several corals from a fellow reefkeeper, knowing they were all rescues. Included in the bulk were a few dying Acropora corals that desperately needed rehabilitation. However, rehabilitating small polyp stony (SPS) corals has its own challenges, and in many cases, these sensitive corals may experience a more rapid death than their large polyp stony (LPS) counterparts. Below I will cover the initial inspection, diagnosis, treatment, for a complete dying Acropora coral rehabilitation.

Assessing Dying Coral Health:

Acropora Coral with Parasites

All dying Acropora coral were brown, not extending polyps, and had white marks on them. Upon initial inspection (and not shockingly), they had red bugs (Tegastes acroporanus) and Acropora-eating flatworms (AEFW). I treated the AEFW and red bugs with a series of coral dips as part of rehabilitation efforts. I also inadvertently subjected the tank to a reduced temperature (thanks power outage), which quite possibly killed the red bugs. (At the time, Interceptor was the normal protocol for treating red bugs, but there were also several other suitable treatments.)

Since AEFW lay eggs, it was critical to regularly inspect the coral and re-treat to completely eliminate the parasites. Thankfully, red bugs are live-bearers, so once they were initially eliminated, I no longer had to worry about them.

Quarantined Acropora Coral:

Acropora Rehabilitation

Of course, Acroporas require stable salinity, alkalinity, magnesium, calcium, etc. Given that I had over 50 corals undergoing rehabilitation at the time, my quarantine tank was not exactly a healthy aquarium. I had to focus particularly hard to make sure the other dying corals did not adversely affect the SPS. Water changes to remove excess nutrients were crucial. Once the Acropora parasites were gone, I maintained my alkalinity at 9 dKH, magnesium at 1350, and calcium at 450. I also performed 20% weekly water changes.

Previously Dying Acropora Coral Rehabilitated:

Healthy Acropora Coral

With stable parameters and a lack of parasites, this previously dying Acropora coral was quickly rehabilitated. They can heal quickly and add a beautiful touch to the aquarium. However, I don’t recommend Acropora rescues for beginners as they can have more severe pests than LPS corals, are sensitive to poor water conditions, and require careful monitoring of water parameters.

Acropora Coral with ParasitesHealthy Acropora Coral
Dying Acropora Coral Rehabilitation

Dying Acanthastrea Coral Rehabilitation

Dying Acanthastrea Coral Rehabilitation

Assessing the Coral’s Health:

Dying Acanthastrea Coral

This dying Acanthastrea (“Acan”) coral came out of a hobbyist’s tank that had been neglected due to an impending move. Notice the lack of tissue between the polyps. Luckily, corals in poor water conditions usually recover quickly in a mature, well-maintained aquarium. Rehabilitation should be easy with just proper, basic care. (Photo taken 9 June 2012)

Preparation for Quarantine:

Growing Acan Coral

Since the coral just needed a healthy environment, there wasn’t a whole lot I could do. There was some nuisance algae on it, so I cut those sections off. I gave the coral a dip in Coral Rx to check for pests just in case. Within less than a month, the polyps were already expanding out more and growing larger. (Photo taken 30 June 2012)

Quarantined Coral:

Acan Coral Algae Removal

Within a month, the previously dying Acanthastrea coral looked almost like it had never had a problem. Unfortunately the remaining skeleton kept growing nuisance algae, so I kept having to remove it to facilitate its rehabilitation (white areas in the photo, taken 7 July 2012.)

Coral Grow-Out:

Rescued Acan Coral

After a month in quarantine, I was able to re-dip the coral and place it into a grow-out tank. In a grow-out tank, I can continue to monitor the coral for any remaining issues while not exposing it to other incoming quarantined corals.

Within only two months the polyps were fully expanding and growing tissue between them (14 August 2012). Around this time I purchased a band saw, so I cut off the part of the disc that kept growing nuisance algae.

Rehabilitated Acanthastrea Coral:

Rehabilitated Acanthastrea Coral

Not too shabby! All this coral needed was a bit of TLC and some good water to make a full recovery within six months. (7 October 2012)

I had this coral for several years, during which time I fragged it many times to pass along to other hobbyists. For all I know, I may still have some of it, but I’ve lost track of which Acan coral it may be in my tank after a few moves and having several similar corals (what a great problem to have!)

Dying Acanthastrea CoralRehabilitated Acanthastrea Coral

Dying Lithophyllon Coral Rehabilitation

Dying Lithophyllon Coral Rehabilitated
Dying Lithophyllon Coral

A local fish store (LFS) called me to ask if I wanted to try to save some of their corals. An employee had overdosed their reef tanks with a chemical used to treat flatworms (I was not told what chemical it was). When I arrived, honestly, I was shocked at how bad many of the corals were. I don’t know if these corals were dying from an overdose of some unknown chemical or if the flatworm toxins were killing them. Either way, something was poisoning these corals to death. I picked up two “chalice” corals, amongst others. These dying Lithophyllon coral mouths were gaping open, the tissue was falling off, and what tissue did remain was barely hanging on. Rehabilitation was going to be dicey. (Photo of Litho#1 taken 11 May 2013)

Dying Lithophyllon Coral Inspection and Dipping:

Dying Lithophyllon Coral

When I brought them home, I temperature acclimated them to my quarantine tank and prepared the dips. Like most of my rescues, I dipped the corals for pests. (Photo of Litho#2 taken 11 May 2013)

*NOTE: This post tracks the corals as “Litho#1” and “Litho#2” to show individual progress.

Coral Quarantine:

Lithophyllon Coral in Quarantine

After the dips, I placed the two dying Lithophyllon corals into my quarantine tank in a low light, low flow area. I made sure that no crabs would bother the coral, especially with all the decaying tissue. Since the corals were poisoned, I made sure the quarantine tank had new carbon to help absorb anything that the corals might leach. Both corals did start to quickly recede, so I tried to stop it by smearing a bead of superglue gel along the receding edge (white lumpy band in the photos below). Rehabilitation was definitely already proving rough. (Photo of Litho#1 taken 11 May 2013)

Receding Lithophyllon Coral
Receding Lithophyllon Coral (Photo of Litho#1 taken 9 June 2013)
Receding Lithophyllon Coral

The corals also refused to eat until about a month after I received them. I started them on fish food pellets (shown here and above) since they are quite processed. In my experience, sick corals seem to digest fish pellets better than whole foods (like mysis, etc.) This helps them recover faster. (Photo of Litho#2 taken 9 June 2013)

Coral Grow-Out:

Recovering Lithophyllon Coral

After stopping the recession with superglue and maintaining regular feedings, the corals started to heal quickly. And how great they started looking! After 30 days in quarantine, I inspected, re-dipped, and placed them into the grow-out tank. (Photo of Litho#2 taken 4 August 2013).

Rehabilitated Lithophyllon Coral

Regular feedings likely helped the coral recover. (Photo of Litho#1 taken 12 October 2013)

Rehabilitated Lithophyllon Coral

Here is Litho#2 on 3 November 2013.

Rehabilitated Lithophyllon Coral

A month later (8 December 2013), Litho#2 was growing down its skeleton.

Fully Rehabilitated Lithophyllon Coral:

Rehabilitated Lithophyllon Coral

Nearly a year later, both previously dying Lithophyllon corals were growing rapidly. This Litho#2 is shown on 1 May 2014, when it was fully rehabilitated. Below is a close-up shot showing the corals’ beautiful patterns.

Lithophyllon Coral
Lithophyllon Coral Close-up

Conclusion:

I had very little hope for these dying Lithophyllon corals due to their poisoned state. However, the fast reaction of the LFS along with continued care over a year fully rehabilitated these two corals. Shown below are the before/after photos of the dying Lithophyllon coral rehabilitation. One coral was nearly immediately rehomed, and the other coral was rehomed a couple years later.

Dying Lithophyllon CoralRehabilitated Lithophyllon Coral
Before and After: Dying Lithophyllon Coral Rehabilitation (Litho#2 shown)

Dying Cyphastrea Coral Rehabilitation

Dying Cyphastrea Coral Rehabilitation
Dying Cyphastrea Coral

Cyphastrea coral are usually very hardy and prefer low light (and sometimes do best partially shaded) but can be acclimated to higher-light areas. They also adapt well to a variety of flow conditions. I received this dying Cyphastrea coral from a reefkeeper who was getting out of the hobby. Good husband would likely be key to this coral’s rehabilitation. (Photo taken 22 May 2012)

Unfortunately, most corals in the tank were suffering from poor water quality, and this Cyphastrea was no exception. The reefkeeper did the responsible thing by recognizing that the corals needed proper care and attention.

Note how some of the polyps still have tissue while there is no tissue between the polyps. This is a good indication of poor water quality (in addition to actually speaking with the previous owner). Regardless of the damage root cause, I still dipped and checked it for pests.

Coral Quarantine:

Dying Cyphastrea Coral in Quarantine

As mentioned, the coral was declining due to poor water quality. After the initial dipping process, I placed the coral into my quarantine tank for observation and acclimation. Here, the coral was fairly low in the tank to allow it to adjust to the lighting. Notice that by less than a month later (15 June 2012), the coral was already regrowing!

Dying Cyphastrea Coral in Quarantine

Just another 15 days later (30 June 2012) and slightly over a month total time with me, and the coral was gaining coloration and growing rapidly! Given the proper light and water conditions, this coral grows extremely
fast.

Fully Rehabilitated Coral:

Cyphastrea Coral Rehabilitated

This previously dying Cyphastrea coral was completely rehabilitated in less than three months (pictured at 14 August 2012). The coral had completely covered the old skeleton and had encrusted onto the base. In fact, it started to grow so quickly, that I had to frag it several times. Coral reproduction via fragmentation reduces hobbyist impact on the oceans.

Troubleshooting Dying Cyphastrea Corals

As mentioned above, if the Cyphastrea coral has started to lose tissue between the polyps, then there is probably a water quality issue. If the coral is bleaching, then it’s likely in too high of light (or might’ve been in absolutely no light.) If the coloration isn’t great (too brown), then it may need more light or less nutrients. Or, if there’s recession from one side to another, then it may be a pest, bacterial/fungal infection, or a sudden water quality problem.

Dying Cyphastrea CoralCyphastrea Coral Rehabilitated

Dying Pectinia Coral Rehabilitation

Pectinia Rehabilitation
Pectinia Dying

A fellow hobbyist in my local reef club at the time contacted me about his dying Pectinia coral. He said no matter what he did, the tissue kept receding, and it was just a brown color. Knowing the hobbyist and his system, this was out of the ordinary. So, after much discussion, I took it in to attempt a rehabilitation of this dying Pectinia coral. (Photo taken 8 March 2014)

Inspection:

Pectinia Covered in Pods

Upon inspection, I noticed that the tissue recession was slow (notice the coralline algae growing on the old skeleton). I also noticed it was covered in very tiny, moving, white dots (and majano anemones!)

Ostracod Seed Shrimp

I wanted to take a closer look at the “white dots,” and found that they were Ostracods – seed shrimp. This was the first coral I’ve encountered that had a massive pod population covering it during the day. Typically I’ve only seen ostracods out at night.

Ostracod under Microscope

Although a microscope isn’t ideal for examining seed shrimp, it was still neat to see.

Treatment:

Pectinia in Dip

As with all my dying corals, I started the coral out with a series of dips.

Pectinia in Dip

During the dipping process, I trimmed off all of the excess skeleton to expose any hidden issues, reduce the likelihood of pests, and allow the coral to regrow a skeleton unencumbered.

Pectinia in Dip

I didn’t really believe the ostracods were the source of the problem, but dips are always wise.

Quarantine:

Pectinia after dip

After three dips and a skeleton trim, the Pectinia coral was quite stressed, but it went into my quarantine tank for observation.

Continued Care:

Pectinia pods

The coral started to regain color, but the ostracods came back. Interestingly, they only covered this one coral during the day. I decided to perform the dips again.

Final Results:

Pectinia Rehabilitation

After the second set of dips, I never saw the ostracods again, and the coral started to recover. By 1 May 2014, the coral was turning a beautiful blue and starting to grow. Shortly after this photo was taken, I gave the coral back to its owner. Below, you can use the slider to see rehabilitation of a dying Pectinia coral from beginning to end!

Pectinia DyingPectinia Rehabilitation

Dying Echinophyllia Coral Rehabilitation

Echinophyllia Rehabilitation
Dying Echinophyllia

A friend of mine asked about this dying Echinophyllia coral’s rehabilitation, “How did you even know there was any living tissue on that one?” That’s a really great question, because this Echinophyllia sp. (also known as a “chalice”) coral was in a really bad shape and dying.

There was a local fish store (LFS) near me back in the day that used to have massive coral runways with massive runway sumps below. If any corals died, the employees would just throw the pieces into the sump. I used to take a UV-light and run it along their sump to see if there was anything with the tiniest hint of life clinging to it. Although I didn’t get this particular coral there, a UV pen was what gave me hope. This coral might be brown under regular light, but it fluoresced a beautiful green under UV.

This dying Echinophyllia coral got its start with me on 22 May 2012. Of course, I dipped it to check for parasites and placed it in a low light, higher flow area.

Coral Quarantine:

Echinophyllia Rehabilitation

Just a little over a week later, on 3 June 2012, the transformation was amazing. With regular target feedings, this previously dying Echinophyllia sp. coral was no longer clinging to its skeleton, showed off its orange mouth, and it developed what can only be described as “glitter” throughout its tissue (notice the specks around the mouth). I was getting excited! Its rehabilitation was coming along!

Echinophyllia Rehabilitation

By the end of June (30 June 2012), just a little over a month later, and the Echinophyllia sp. coral had nicely filled out. It was time to transfer the coral from quarantine to the grow-out tank, so it was dipped again and inspected to ensure it was clean.

Coral Grow-out:

Echinophyllia Rehabilitation

This photo was taken on 14 August 2012. The grow-out tank’s lights were much stronger, so this coral started out in the sand again. Even down in the sand, the coral began to develop some beautiful coloration, with blues, greens, and orange mouths.

Fully Rehabilitated:

Echinophyllia Rehabilitation

By 19 February 2013, the coral looked as if it had been beautiful all along. There were no signs of fragging, and the coloration was fantastic. This previously dying Echinophyllia coral was rehabilitated!

Echinophyllia Rehabilitated

After about a year-and-a-half recovery (2 November 2013), the coral was ready for a permanent home (excuse the oversaturated photo!) This coral went from essentially the “trash bin” to having a new start.

Dying EchinophylliaEchinophyllia Rehabilitated
The before and after an Echinophyllia rehabilitation

Catalaphyllia Rehabilitation

Catalaphyllia Rehabilitated Before and After
Catalaphyllia Dying

This dying elegance coral (Catalaphyllia) came in on 24 November 2012 covered in aiptasia anemones and flatworms. Although I believed the flatworms were just Waminoa (nuisance, but not parasitic), but the previous owner was convinced the flatworms were actually parasitic. At the time, reports of LPS-eating flatworms were becoming more prevalent, so I wasn’t about to take chances.

This photo shows the coral in a dip to remove the flatworms and any other unseen parasites. I had to manually remove the aiptasia (chopping off parts of the old skeleton).

Only two days later (26 November 2012), and the coral was looking much better. (Only one piece of the Elegance is shown here.) With good water quality, I was hoping the coral would grow well.

Unfortunately, even seven months later (16 June 2013), the coral had not grown. Many rehabilitated corals often have stunted growth for about six months or so (some have had stunted growth for about two years). The coloration was significantly better though, with beautiful pink tips and fluorescent blue streaks reminiscent of lightning in the center.

Shortly after this photo was taken, the coral was permanently rehomed.

Catalaphyllia DyingCatalaphyllia Rehabilitated
Move the slider to see the before/after coral rehabilitation!

Favia (Moon Coral) Rehabilitation

Favia Rehabilitation

Dying Favia

On 14 May 2012, I received this bleached and receding Favia sp. coral. There was algae covering the exposed skeleton between the polyps as well. Although it isn’t shown, the back portion was mostly dead (and so was the front left area).

Favia Recovering

Here it is in the quarantine tank after the appropriate dips and inspections. Shortly after this photo, I decided to trim the dead portions off, which left mostly a flat piece.

Favia Recovering

By 14 August 2012, the coral had stopped receding and was regaining color. The algae was gone as well.

Favia Recovering

After five months (7 October 2012), the coral was starting to display a lovely “glitter” effect in its tissue.

Favia Recovering

Ignoring the bit of damage on the top (a coral fell into it – these things happen), by 6 January 2013, the coral was nearly recovered.

Favia Recovering

However, after another ten months (12 October 2013), it started to morph with these dark rings. Here, it is eating, which helped highlight its color ring.

Favia Recovering

By 2 March 2014 the coral was full morphed and healed.

Favia Recovering

After two years (5 May 2014), the coral stabilized and just continued growing naturally.

Favia Rehabilitation

Two years may seem like a long time, but it was so worth all the effort!

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