"I've tried a gel cushion before and it didn't help." Basic gel pads without a true honeycomb structure still compress under sustained sitting, they just do it with a different material than foam. The connected-cell structure, not the gel itself, is what actually redistributes weight.
"Is it too late if I lost the weight a while ago?" No. The mechanism is about current padding levels, not how recently the weight came off. This applies whether it happened six months ago or six years ago.
"Will this make me sit too high at my desk?" No, this is specifically why the honeycomb structure matters, it redistributes weight without needing added bulk or height the way foam wedges do.
"Why didn't my doctor mention this?" Most weight-loss follow-up appointments focus on the metrics being tracked, blood pressure, A1C, weight itself, not necessarily every downstream physical change, including this one.