I would make a $ bet that this is the case. In the future I will have a live in option for a week or two for people wanting to ensure absolute consistency. I’ve worked with thousands of patients and have worked up hundreds of secondary weight gain issues. It always comes back to consistency. Of course there are some small tweaks I can do like modify thyroid replacement and modify medications that increase appetite and nutrient partitioning, but the most powerful tool is helping with consistency.