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It does not stress the liver at recommended doses. Plenty of people get frequent headaches and other aches that have no other severe stuff going on, or really anything that needs to be treated more than symptomatically. Scheduled tylenol is an effective element of a pain regimen for many people.

What makes you think people who take a painkiller for chronic pain generally don't report it to their doctor?

1. A lot of people won't go to a doctor in the united states

2. They may be so used to pain they don't think to mention it.

3. A lot of people lie to their doctors for one reason or another.

In the US there’s also deep religious influence that paints suffering as virtue that’s been exploited by capitalists to establish a norm of pushing through the pain and continuing to work instead of taking a break to figure out what the root cause is and address it. Some also just don’t have a choice, because taking time off means not getting paid which means losing a roof over their head.

If you go to doctor with mild annoyance, they wont take you seriously.