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You can add bio balls in addition to other media like lava rock or ceramic rings. Bio Balls alone wont suffice for a good filtration...........

I am using 2 x Eheim 2080 on my 180 gallon and having very good results. Cannot think of any other filter. HAve used Fluval, Rena filters before without any issues but the bioload that the monsters I have cannot be handled by anyone. Thats my opinion.... Shiv