yea its ridiculous how much it kills my appetite. I know that dip is just as bad in its own right, but it doesnt affect my appetite as much, or my lungs, which is my main concern because i can really start feeling its affect on my breathing and my circulatory system. The only thing that has worked for me in the past is switching over to dip, the gum, patch, and lozenges all give me either a headache, even at low doses, or fuck with my sleep patterns, so i prefer to switch to chew for a little while and then tapering off that. but i have to admit, when i can, i loveee falling asleep with the patch on, the craziest dreams ever. i sometimes fall asleep with a pinch in my mouth and get similar results, but i usually wake up with a black pillow soaked in tobacco saliva so i try not to do that lol.