Adrilynn,
Hey, I know where you are coming form. I've been there. I weighed in at 287 and I smoked over a pack a day. I also did not care if I lived or I died. That was in December 2010. It sucked..... It was either change my life or die. I chose to live. Below is what I did and I share it with you to encourage. If I can be of help, just let me know, I will do what I can.
At first, I just started by cutting back the smoking. Over two months, I went from around 30 per day to around 10 per day. I also cut out ice cream. That was it. In Feb. 2011, I started to face what I was or at least started thinking about it. I quit smoking in March of 2011 and started working out to help control the withdraw symptoms. I lifted light weights and used an elliptical machine for aerobic activity. The first day on that elliptical machine, I made seven minutes. I just kept going and sometime in May 2011, I decided that it was silly to be eating that much and working out that much...it was to hard on my heart so I started a low calorie diet. In June I started counseling.
Fast forward to today, I have been on HRT for almost a year. I lost weight; gained a little, lost more and have just bounced my weight down to 191. (Bouncing the weight was intentional to get a more feminine body.) I will make my goal of 170 by March 1. I have not smoked again. I care if I live or die. There is too much to live for in this life. FFS is in March, SRS is in November.
You can do it without getting to radical. Losing weight is just fewer calories and more activity. Find what you like to do and do that. Bike, walk, run, dace, row...whatever floats your boat.
Good Luck,
Hugs,
Jen