The fish is???
If its eating a lot and staying really thin, my guess would be an internal parasite. I'm honestly not sure what the best treatment out there is for that. It's been several years since I dealt with that. Are you adding any garlic supplement to the nori? I've heard that helps with strength and immunity, but its not a cure .
Keep in mind that you have a Tang that gets pretty big and very aggressive as it matures in a smaller than recommended tank. That will likely cause problems in the future.