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My MD also said to quit. I figured he'd have know way to know but SURPRISE- he did a blood test. These tests can check for nicotine and carbon monoxide in your system. They can even check a urine sample for nicotine if they wish. my test came back ok mostly cause i don't smoke a lot and i use anelectronic cigarette which puts no carbon monoxide in your system. you should look it up at ecosmoke.com