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There are several controversies about the key factors for achieving a successful nutritional follow‐up aimed to weight loss. Patients' enthusiasm is considered as an important issue. Therefore the objective of the present study was to evaluate patients' perception about their own effort to accomplish nutritional recommendations, (highly attached, mildly attached or poorly attached) from the 1st to the 4th visit for the treatment. Percentages of patients who lost weight or body fat between visits were calculated. Results: 214 patients, both genders were considered in the analysis. Patients were certain of their achievements; as expected, in each visit, the patients who lost more weight and body fat, were those who considered themselves highly attached to their nutritional treatment. 62% with high attachment lost body fat while 84% lost weight between second and first visit. In comparison with those who showed poor attachment (57% lost body fat and 64% lost weight). There were no statistical differences between visits, the same behavior was seen between third and second visit and between third and fourth visit.. These findings show that self‐awareness is an important behavioral factor that improve adherence.