Patient description: A 39-year-old man came to the clinic with cough and shortness of breath that was not relieved by his inhaler. He had these symptoms for 5 days during the past 2 weeks. He doubled his oral corticosteroids in the past week. He is a chef with a history of asthma for 3 years, suffering from frequent cough, wheezing, and shortness of breath and chest tightness. The symptoms become more bothersome within 1-2 hours of starting work every day and worsen throughout the work week. His symptoms improve within 1-2 hours outside the workplace. Spirometry was performed revealing a forced expiratory volume in the first second (FEV1) of 63% of the predicted. His past medical history is significant for seasonal allergic rhinitis in the summer. He doesn't smoke or use illicit drugs. His family history is significant for asthma in his father and sister. He currently uses inhaled corticosteroid (ICS) and fluticasone 500 mcg/salmeterol 50 mcg, one puff twice daily.

Clinical trial eligibility criteria: eligible ages (years): 18.0-65.0,  Obesity Smoking Cessation Subjects will be considered for if they meet all of the following 1. ≥18 years and ≤65 years of age; 2. smoked ≥10 cigarettes/day for the past 6 months; 3. Body Mass Index of 27-39.9 kg/m2; 4. motivated to stop smoking; 5. weight concerned as shown with the Weight Concern Scale; 6. able to participate fully in all aspects of the study; 7. understand and signed the study informed consent. 8. Subject is in good health as determined by the clinical investigators  Subjects will be ineligible for participation if they have any of the following: 1. current nonspecific suicidal thoughts or a lifetime history of a suicidal attempt (defined by the Columbia-Suicide Severity Rating Scale as a "potentially self-injurious act committed with at least some wish to die, as a result of act."); 2. current moderate or severe depression as assessed by a score of ≥16 on the Center for Epidemiology Studies-Depression; 3. a lifetime history of psychosis, bipolar disorder or schizophrenia; 4. use of anti-psychotic medication within the past 30 days; 5. use of weight-loss medications within the past 30 days or current participation in a program specifically designed to help with weight loss; 6. weight fluctuations of 20 pounds or more in the past 6 months (self-report); 7. use of any treatments for tobacco dependence within the past 30 days; 8. use of an investigational drug within the past 30 days; 9. recent history (past 3 months) of abuse of or dependence on a substance other than tobacco. Including: heavy alcohol consumption (If male, drinking > 4 alcoholic beverages per day for past month and if female, drinking > 3 alcoholic beverages per day for past month); use of cocaine, heroin, club drugs (i.e., methylenedioxymethamphetamine(MDMA)/"ecstasy"), methamphetamine, or hallucinogens (e.g., LSD) at any time during the past 3 months; and use of marijuana on a weekly basis for the past 3 months 10. current use of triptans, monoamine oxidase inhibitors, selective serotonin reuptake inhibitors (SSRI), selective serotonin-norepinephrine re-uptake inhibitors (SNRI), dextromethorphan, tricyclic antidepressants (TCA), bupropion, lithium, tramadol, tryptophan, and St. John's Wort, or any other medication known to involve the serotonergic neurotransmitter system (see human subjects section); 11. uncontrolled hypertension (systolic >160 mm Hg and/or diastolic >100 mm Hg) documented on 2 separate occasions; 12. current use of medications known to interact with varenicline or lorcaserin. These can benzodiazepines, narcotics, anti-epileptics; 13. another household member or relative participating in the study; 14. known diabetes; 15. a known allergy to varenicline or lorcaserin. 16. Women who are pregnant or lactating, or who are of childbearing potential and are likely to become pregnant during the medication phase but are not willing to use a reliable form of contraception, will also be excluded. Reliable forms of contraception oral contraception, diaphragm or condom (with spermicide), injections, intrauterine device, surgical sterilization, and abstinence. 17. Has an unstable medical condition as determined by the physician investigator 18. Subject describes having a medical history of: a) unstable angina; b) myocardial infarction within the past 3 months; c) coronary angioplasty or d) an untreated cardiac dysrhythmia. 19. Subject currently has cancer [excluding non-melanoma skin cancer] not in remission 20. Known history of seizures