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Many of your problems are occurring due to addiction of tobacco.
Your first step in management should be stoppage of tobacco use. In my view, Cold
turkey is not good method as it will lead to withdrawal symptoms
and followed by relapse.
If you are not able to quit yourself, then you can take help of psychiatrist
, who can give you medicine to decrease craving and withdrawal.
I hope this information has been both informative and helpful for you.
Wish you Good Health.
Dr. Ashish Mittal