I really don't know.
I feel it is the abundance of pathogens in my tank but it could be the pictures of Supermodels I have on the walls.
Notice the date on that picture 1986. Thats how long I have that picture. I am not a Perv. I like to look at pretty girls, nice looking fish, insects, buildings, paintings etc and I will never apologize for it.
I know its impossible to 'know'. My guess is that you're correct - it is just as likely the supermodel as the live food Glad your surgery went well