What Reasons Could My Drug Screen Show Low Metabolites

Updated

I got my drug screen back from my pain doctor today from last month and he said that my methadone showed up but my metabolites were way way lower than my past. He says that means they aren't being broken down which can mean that im tampering with my urine and possibly scrapping my pill into my urine. Never ever in my 18 yrs of going to a pain doctor have I ever done such a thing so im trying to figure out what else could possibly cause this because he said it could be plenty of reasons but none good on my part. Plz help.

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