I hear youI tend to be very direct, because I don't pussyfoot around, lol, so don't take this the wrong way.
There is no way you can know the fish are "healthy." The fact that fish live and seem OK to us does not mean they are; fish cannot talk to us, so we have no way of knowing this. Our only course is to provide what they "expect" and not add stress. Fish like most animals have a strong will to live, and they will do their best to make the best of what we force upon them. They have no choice. A dog kept in a crate its entire life and fed low quality food may well live a normal lifespan, but that does not mean it is healthy. And being a mammal, it is easier for us to see the likely state of its health. With fish this is impossible, unless the situation becomes overwhelming and the fish succumbs.
Substantial water changes are scientifically proven to improve fish health. There is no substitute. No filter, no additive, nothing can replace the benefit of a water change. Changing 50-70% once each week will always mean healthier fish, that is a certainty. If you were to spend several months studying fish physiology you would comprehend this very readily. Discus breeders will tell us that performing 90-95% water changes once and even twice each day significantly improves the health and growth of fry. The reason why is not unfathomable. There is no miracle drug to equal the water change.
This tank was originally set up ad a quarantine tank and then moving house I kept using OA during those few months. I became worried about weaning off it because it appeared everything was well