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If changed out on schedule, carbon can scrub the extra garbage out of your water. The problem is that, if you forget to change it, it can dump all of that back into the water. So, if you are faithfully changing your carbon, you may actually find your water a little less clear (though, if you replace it with filter floss, there will be little difference).
One concern I have with carbon is that carbon dust can collect in human lungs, making breathing difficult (and causing the condition of "black lung" in the long run). I wonder if it can do similar things in the finely laced structure of the gills if not fully rinsed before use.
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