Can you cut down slowly on cigarettes? Like limit yourself to a certain amount a day and slowly cut down that amount as you go on. That's always been my plan when I decide to quit (which better be soon, I can't afford cigarettes anymore). Maybe that will help. Or chew nicotine gum maybe? I don't know.

Also I wouldn't try to quit cigarettes AND soda at the same time. That's too much change. Just do tiny improvements. Like one less soda per day. I don't know, I always do better with slow change.

As for the meds, that really has to be your choice. Why do you always quit them? Is it because of side effects? Or do you just get annoyed taking meds? Not everybody can be on board the med wagon. They might help but you have to be willing to stick with them for a couple of months to see if you improve. That's up to you.

But it's not hopeless. You'll find something to help you. All is not lost!