Yes, you should definitely talk to your doctor about your liver concerns. My rheumy is very thorough and has me do labs, both blood and urine, every time I visit him, which is 2-4 times a month.
In my case, he is concerned about the Methotrexate having an effect on my liver, but so far my bloodwork has been fine. If you have any risk factors or will be on Ultram long term, you should probably have bloodwork done, but that's just my opinion. Definitely talk to your doctor about your concerns. Liver health is nothing to mess around with.
Rheumatoid Arthritis, Chronic Pain, Chronic Major Depression, Generalized Anxiety Disorder, Schizoaffective Disorder, Recovered Alcoholic w/15 years Continuous Sobriety