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Yesterday during one feeding an otherwise healthy 4.5" naso got stuck against an mp60. It literally couldn't get itself off on its own. I've seen others report losing fish to a powerhead and always chalked it up to fish that were already unhealthy or dead. I've been doing this for a very long time and never saw that happen in my tanks. The naso is doing great since I caught it right away. Granted MP60s are strong and the fish prolly just made a mistake and got too close during the feeding frenzy... But it was still surprising to me that a healthy fish could end up like that. Just throwing that out there.