I dunno. I feel pretty good. COPD is early stage, no oxygen. Liver and kidney function are good per Dec. bloodwork.
I just need to eat right and exercise.
Dude, you are on the right path as you had the humility to list your medical problems and face them. Never smoke again. You said you use pouches. Dip pouches over smoking, or use the patches if you can afford them. Basically, just assume you will patch for the rest of your life. If you aren't on oxygen, you still have enough lung function to live a normal life, and it will improve to some extent the longer you are off cigarettes.
Also, try Atkins. Buy some sacks of your favorite nuts. Some stores have hoppers of nuts that you can dump into a bag. Then eat meat and fat for meals, and snack all day on the nuts. The thing about insulin/leptin really works. First two days, I won't lie, there is a glucose withdraw, but it passes. Good thing about Atkins is that you are never hungry. Also add a men's (no iron) multi vitamin/mineral to your stack. You might be overeating because you are malnourished. Finally, walk some to up you metabolism. Give it a try for a month. Snacking on nuts all day really works in eliminating appetite.
I'll look into the leptin.
In Dec. 2013 I weighed 289 pounds and decided to get my act together. By June of 2015 I was down to 190 pounds.
I did it by stopping fast food meals, not eating anything 4 hours before bedtime, and moving around. By moving I mean walking and always finding something to do that required physical effort.
I don't remember the exact number but my A1c went from being high enough that my doctor told me I may need insulin to a number that lead to Doc telling me to stop using my monitor at home.
But now it's back up because of junk food and my weight is 250 due to laziness. I know how to fix it though. As you said, eat right and get off my rear.
On the nicotine, I'm done with smoking for sure and I have a bunch of patches nowhere near expired. I have tried every brand and flavor of pouch I can find and Timber Wolf Peach is my favorite. And it's the least expensive as well. But I plan to stop using them after the Covid calms down.
There is a book I dug out of storage titled The Good Calorie Diet. It focuses on the glycolic index of foods and how one can eat all they want if they stick to the right foods. I'll look into the Atkins diet and see if there are similarities. I suspect there are.