I hate to say it but you’ll need to quit smoking someday if you want the panic/anxiety attacks to go away. Do you get these attacks right after you smoke?
I am 30 and smoked half of my life and am on week 6 of not smoking. Many of the symptoms you have are way worse by smoking…it literally is killing you from my experience. But its so hard to quit, so I know what you are going through mentally.
Your lifestyle has damaged your liver and immune system so you need to rebuild it. I also had a similar lifestyle except maybe half as bad as your levels…
I recommend a bunch of stuff but you need to make some basic lifestyle changes in order to get better, then everything will be much much easier. You simply won’t be able to get much better drinking and smoking at high levels.
At the least I recommend liver cleansing herbs to help detox.