> My doc does not want me taking acetaminophen because she thinks it causes me to get elevated liver enzymes

An uncle and some other older physicians who are on long-term measured acetaminophen usage reported supplementing their regimen with n-acetyl cysteine (NAC) with no apparent diminution in analgesic effect. WebMD has a description of the chemical mechanism:

https://www.webmd.com/vitamins-supplements/ingredientmono-10...

As an aside it's also the primary antitoxin for the treatment of acetaminophen poisoning in veterinary medicine:

http://orrongpharmacy.com/content/s_vet/vet_poisoning.htm

So it might be useful to bring this possibility up with your personal physician.