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    I’m hoping one of the facilitators can chime in here, but I don’t think the liver risks with either PTU or other ATDs has anything to do with Tylenol or alcohol – I think it’s a different reaction. But I may be totally off base. I only say these because I was on PTU for one year, and despite the black box warning, my endocrinologist told me Tylenol and alcohol were fine in that regard. I needed to watch my alcohol consumption for a completely unrelated reason – my heart rate.