Tifani McKay's thesis conclusion was that fish farmers in Kentucky were not using medicated feed due to the time it took to get it at their farm after a diagnosis was made. The solution for this issue was for KSU Aquaculture to become a Veterinary Feed Directive (VFD) Distributor. A VFD Distributor can hold medicated feed at their facility and when a diagnosis is made and medicated feed is recommended and chosen by the farmer, a VFD can be obtained by a veterinarian and medicated feed can be purchased from the distributor. After meetings with the FDA and networking with other professionals that were certified VFD Distributors, the KSU Aquaculture Research Center became a VFD Distributor and ordered their first pallet of medicated feed to supply to rural farmers in May 2023.