[Maria]

Allan,
Have you spoken with your Primary Care doctor in terms of ruling out any medical conditions that might explain a rapid metabolism of this particular drug ? Just wondering if that could be a possibility.

If you're to detox on Suboxone I'm thinking that perhaps you'd be able to stay on it in terms of pain management if it works to detox and cover you as well.

I don't quite understand detoxing you unless it's to rid your body of this drug and then to see what's going on with your pain while doing the injections.

As you know I've not increased my dose really in the last 9 years with Methadone however I think that's just because I haven't had to as my pain actually got better vs. worse once L5S1 autofused.

I'd recommend asking Terry Newton (correct name/spelling) for his opinion of the advice you were given. My experience seeing multiple PMs over time is that there are those that don't actually like to prescribe pain medications and just want to do injections and there are those that do both. I have chosen to go to those that do both because that's what I found has worked well for me over time.

Call me if you want to talk tho I don't really have any advice that's sage.. just opinions to be taken with a grain of salt..