You don't tell the dopehead that they smoke too much. You don't push a person about their health issues. For them it's personal and no one else's business.
Unless you love them.
When their issues have impact on your life.
When they have choice in how they behave and it is effecting the R you have with them.
Funny how you spoke up about your dog getting a "Double dose" but nothing to your wife. This is a patttern.
M22,H45,W45 S21/18D12 Retain faith that you will prevail in the end, regardless of the difficulties and at the same time confront the most brutal facts of your current reality, whatever they might be.