Both of my parents smoked until I was age 13. RA is the bane of my existence. Ibuprofen daily. Turning 65 on Thursday. The ibuprofen is less effective as time passes.
That's where I was at 65. Suffering from gout, psoriasis and RA as well and walking with a cane.
Drastic dietary changes, (Basically eliminating all of my favorite food and drink), a little exercise and the introduction of CBD changed all that. At 72, I no longer take any pain meds. Just CBD. I miss the fried shrimp, beer and cheeseburgers. But I can walk a mile up to the post office without pain (Or a cane) and I can get a good nights sleep.
On the plus side, Living in Southeast Alaska, I can have all the salmon and wild game I want - AND - I'm healthy enough to go harvest it myself.