First, they are not a true Nudibrach. They are a Gastropod, a shell-less snail. A common problem is they die of old age. They have a life expectancy of one year, at most. They need lots of algae to eat. They also commonly get killed in pumps and overflows. How old was the Lettuce when you got it? There's no way of knowing that unless they're captive bred.
I bought one and it was fat when I first got it, but has been slowly withering away as the algae is becoming scarcer. I'm afraid the little guy won't make it from lack of food even with supplements.