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can long term use of tramadol cause liver damage does tramadol affect the liver - MarkitaMelvin - 06-16-2026 Can long term use of tramadol cause liver damage, does tramadol affect the liver can long term use of tramadol cause liver damage ==> can long term use of tramadol cause liver damage can long term use of tramadol cause liver damage does tramadol affect the liver can tramadol cause liver damage