“Pilled to the gills” is a term commonly used amongst nicotine users when ingesting a quantity that far exceeds the standard dosage for a mortal man. Typically used in conjunction with, “I’m booted up” or the ever popular, “You’re about to get dogwalked”.
Person A: What are you up to?
*Person B puts in excessive amount of nicotine pouches*
Person B: I’m getting pilled to the gills right now, on God”