LivingAfterWLS Rainbow
You Have Arrived
Whatever else you have on your mind,  
Wherever else you think you're going, Stop for a moment and
 look where you are:

You Have

Autumn Leaf

Give Your Best
Don't be afraid to give your best to what seemingly are small jobs.  Every time you conquer one it makes you that much stronger.  If you do the little jobs well, the big ones will tend to take care of themselves.
~Dale Carnegie 

In This Digest
3 Keys to Back to Basics After Weight Loss Surgery
Transfer Addiction: Be Very Careful
Should you talk to Someone?
I believe in you.

You deserve to be healthy.


 You deserve to be kind to yourself.


You deserve to achieve your greatest level of success with weight loss surgery when you harness your inner resources.


--Kaye Bailey
5 Day Pouch Test Owner's Manual

5DPT Manual 2nd Edition
Sale: $22.95
Social Connections
Go beyond the LivingAfterWLS Neighborhood and connect with Kaye Bailey in these popular social media destinations: 

Find us on Facebook 

Follow us on Twitter

View our videos on YouTube

Circle of Friends Mug
 Neighborhood Mug

The LivingAfterWLS Neighborhood has long been considered the premier destination for online WLS support: Celebrate your safe haven circle of friends with this attractive mug.  

Neighborhood Inspired 

 Goods & Gifts 



3 Keys to Back to Basics After Weight Loss Surgery

Gerber DaisyPeople who have undergone weight loss surgery and later gain weight are often told to "get back to basics" but we are seldom given more in depth directions. I was told that when I reported a weight gain to my bariatric center. Many of us have feelings of hopelessness: we are lost without a place to begin the act of losing weight again.

Over the years with much learned there is an effective way to get back to basics and make the most of our gastric bypass or gastric banding surgeries as tools in weight maintenance. In addition to following the food plan there are three key things we can do to sustain weight loss and maintain a healthy weight:

Plan Ahead - Do Not Leave it to Chance
Read, study, and understand the basics completely before you begin. Plan for five days with limited disruptions including life, work, and cyclical (menstruation). Create a meal plan for all five back to basics days and purchase the food to avoid tempting trips to the market. In advance cook a pot of hearty vegetable soup and divide into 1-cup portions. Mentally excite yourself over the opportunity to make new friends with your old pouch. Prepare for carbohydrate withdrawal by having fruit on hand or a supply of Emergen-C. Announce your plan to those who will support you and ask for their encouragement. Visualize feeling wonderful over next few days as you return to the basics. Plan to succeed and you will.

Use the 5 Day Pouch Test Journal
Please do not stop reading, I know keeping a food and exercise log is inconvenient. But it is a waste of five days if we do not make a record of what happens and learn from that record. Your journal does not need to be complicated: track your food, activity, motivation, and energy levels. Record your weight. In so doing you learn how your eating and activity affect your daily function. Identify hunger trends and also learn how, to arrest them. A food journal opens a window to personal discovery.
Download 5DPT Journal

Get a Buddy
Do not go alone. Get support. Get a partner. Get a buddy. I am repeatedly impressed by the momentum of the buddy system when people go back to basics together. Almost like spontaneous combustion an online group will organize and return to the basics together. And people who are not doing it join to cheer along their fellow neighbors. Others report tremendous success when joined by a spouse, a friend or fellow support group member. Buddies offer support, encouragement, and accountability. Do not go alone.

More Featured Articles


Addiction and Weight Loss Surgery 

 What you must know now.   


September 19,  2012

LivingAfterWLS, LLC - All Rights Reserved 


Hello and Welcome!


Today I address the topic of addiction and transfer addiction after weight loss surgery. I have been asked many times to offer an opinion on this topic and have avoided it because I am not trained in the field of addiction medicine. True addiction is serious and may be life threatening - it is not simply a word we can toss about glibly as an excuse like "I'm addicted to chocolate".  We are doing the weight loss surgery community an injustice when we presume to diagnose addiction without taking the proper clinical steps for assessment, screening, and then treatment. Addiction is serious business.  I hope the information in this Digest is useful to you as you consider this topic in relation to our collective weight loss surgery experience.



Celebrating Kaye's 13-year Anniversary of WLS
Coupon Code: RENEW2012
Save $4.00 off Order*
*$29 minimum purchase
Offer Expires: September 24, 2012
Transfer Addiction:
Be very careful with this
by Kaye Bailey

In the last few years the term "Transfer Addiction" has been used to describe weight loss surgery patients who seemingly advanced a food dependency before surgery to another substance dependency after surgery. The term is popular in the world of talk show psychology, and I see many self-proclaimed "transfer addicts" sharing their stories in online communities. Not a week passes that I don't get emails reading something like this,
"I've started drinking a lot since surgery, do you think I have transfer addiction?"

In fact, I get so many emails on this topic - that is why I'm addressing it here.

The American Society of Addiction Medicine defines addiction:

Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. Addiction also affects neurotransmission and interactions between cortical and hippocampal circuits and brain reward structures, such that the memory of previous exposures to rewards (such as food, sex, alcohol and other drugs) leads to a biological and behavioral response to external cues, in turn triggering craving and/or engagement in addictive behaviors.

The ASAM does not define or make the distinction between addiction and transfer addiction. What they do make clear is that the diagnosis of addiction must be done through an extensive clinical assessment and screening. The diagnosis of addiction is key in the management and treatment of addiction.  This is not something to be taken lightly. Addiction cannot be accurately diagnosed or treated in online communities; on talk show sofas; or in an email query. True addiction cannot be taken lightly. ASAM warns,

"Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death."

Do not take your concerns of addiction or so-called "transfer addiction" lightly. If you seriously believe you have a health issue seek professional help, screening, and treatment from qualified medical providers. Learn more at the
American Society of Addiction Medicine or your local medical and/or mental health care provider.

We wouldn't ask our online buddies if they think the mole on our arm is melanoma: by the same token we cannot expect the neurobiology of addiction to be diagnosed by our online buddies. This is serious business. A lay-diagnosis perhaps gives us an excuse to continue destructive behavior by allowing us to surrender to the "can't do anything about it" attitude. In the worst case a lay diagnosis may prevent those truly afflicted from seeking a clinical assessment and a proper treatment plan administered by trained medical professionals.

Please take this seriously. If you are asked to diagnose "transfer addiction" or see this question asked in your online communities please share this article - you have my permission. It is that important.

Kaye Bailey


Hair Loss & WLS: There is Hope
Beautiful Hair Bundle - Sale $59.95

"Beautiful Hair BundleYou've heard the stories about hair loss associated with weight loss surgery. Maybe dramatic hair loss is your story. It was mine. Six months out of surgery I was several dress sizes smaller and going bald. You too? That was 12 years ago and I was on my own to figure out how to fix it. Now I'm pleased to say I have healthy lustrous hair and these are the products that are working for me. I offer them to you with confidence, and the assurance you do not need to spend 12 years trying to get your hair back. Please take a look."
--Kaye Bailey
Founder LivingAfterWLS & 13 years post RNY WLS.


Beautiful Bundle Retail Price: $79.95

LivingAfterWLS Price: $59.95 -- Save $20 

Use Code: RENEW2012 to save more!
Offer Expires: September 24, 2012
Should You Talk to Someone About a Drug, Alcohol, or Mental Health Problem?
Substance use and mental health problems are treatable, and help is available.

Provided By:
Substance Abuse and Mental Health Services
Administration Center:  Substance Abuse Treatment

Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.

Many people struggle with both a substance use and a mental disorder. These questions can help you decide whether you need help with substance use, a mental health issue, or both. For people who suffer from both, receiving treatment for both is important for getting better. Treatment works: Recovery starts with understanding that you may have one or both of these problems.

Over the past 2 weeks, have you felt down, depressed, or hopeless?

Over the past 2 weeks, have you felt little interest or pleasure in doing things?

In the past year, have you had significant problems with insomnia, bad dreams, or falling asleep during the day?

In the past year, did you have a hard time paying attention at school, work, or home?

Have you ever felt you should cut down on your drinking or drug use (use less alcohol or drugs)?

Have people annoyed (irritated, angered, etc.) you by criticizing your drinking or drug use?

Have you ever felt bad or guilty about drinking or drug use?

Have you ever taken a drink or a drug first thing in the morning (an eye-opener) to steady your nerves or get rid of a hangover?

In the past, have you ever:
(for men) had 5 or more drinks in a day?
(for women or anyone over age 65) had 4 or more drinks in a day?
Used recreational or prescription drugs to get high?

Unless you answered "never" to all of the above questions, talk to your doctor, a nurse, or a counselor about the details. They can help you decide what to do next. They may also help you find more information and resources. Look on the back of this brochure for additional ways to get help.

For information on treatment for co-occurring mental and substance use disorders, go to or

To find a nearby drug and/or alcohol treatment clinic, call (800) 662-HELP (4357) (English and Espaņol) or (800) 487-4889 (TDD) or go online to:

You can also find help in the yellow pages under "Alcohol Abuse," "Drug Abuse," or "Mental Health Services," or in the government (blue) pages of the phone book under your local health department.Some of these clinics can provide treatment for both substance use and mental health disorders.

Thank you for being a loyal Neighbor of LivingAfterWLS. We are proud to serve you in your weight loss surgery journey.



Kaye Bailey

LivingAfterWLS, LLC

The health content in the LivingAfterWLS website is intended to inform, not prescribe, and is not meant to be a substitute for the advice and care of a qualified health-care professional.