Lionfish sometimes rest upside down....so I wouldn't be concerned about that bit. I'd just watch the white spots and see what happens. If it worsens and appears to be ich, then you'll have to decide about treating it in a quarantine tank or just trying to de-stress them, feed them garlic-enriched food, or whatever else it is that people generally do!
Good luck.
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~Drew
10G Nano * 10G Sump * Deltec MCE 600 Skimmer * JBL Viper 150w MH * Zeovit * Vortech MP40W
Millions long for immortality who do not know what to do with themselves on a rainy Sunday afternoon. ~S. Ertz

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