He has to justify lowering your dosage, woogie. He can’t just spout something like “opioids don’t work for nerve pain.” If you were maintained at a certain level and now you are not, TELL HIM. NOW. Call his office this minute. Report your symptoms, your pain levels. Show him what his actions are doing to his patient. You are the patient, not him. The guidelines are not for him or you, they are for others who do not KNOW WHAT THEY ARE DOING OR DON’T NEED THE MANAGEMENT. You need to be vocal. I know it’s hard to do so when the doctors are the ones who are supposed to know what to do. But they are not acting like doctors right now, they are acting like confused sheep.
Go to the AMA website and print off the opioid letter stating they don’t agree with the guidelines. Take it to him. He is the specialist not you. Ask him to act like one. You are the one who must LIVE with his actions, not the DEA, not the government. And you are suffering. Is that his intentions, what he was taught to do?

Make him think about what he’s doing. Do not speak to him in YOUR language, but HIS. Doctors only understand what they know. Go to him on his level. He took an oath to DO NO HARM. The government DID NOT.