Roy Halladay has had more than arm trouble to worry about

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We posted about Roy Halladay’s short outing yesterday and how arm fatigue contributed to his low velocity and ineffectiveness. But CSNPhilly.com’s Jim Salisbury updated his Halladay story last night with a pretty ominous note:

“Halladay admitted that this has been a “stressful” season. He went on to admit that he’s dealt with more than shoulder issues. He said he recently began taking medication for an illness related to diet.

“We got it figured out,” said Halladay, whose weight is noticeably down. “Some of it’s personal. It’s a family history deal. It took us a while to figure out the cause and basically it’s related to diet. They put me on some medicine that will prevent that from happening and ever since then it’s been great.”

On the one hand that makes it all the more amazing that he even managed to pitch this season. Some other players have had weight and fatigue issues without significant injuries and can’t even make it on the field.  On the other hand, if Halladay is dealing with a chronic condition, it makes it all the harder to see how he can even approach his old form.

Video: Gift Ngoepe singles in his first major league at-bat

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Pirates infielder Gift Ngoepe, just called up from Triple-A Indianapolis, singled in his first major league at-bat on Wednesday evening against Cubs starter Jon Lester. It was a well-struck ground ball up the middle in the bottom of the fourth inning. Unfortunately for him, the Pirates could not bring him around to score.

Ngoepe, who was pinch-hitting, stayed in the game to play second base.

Shelby Miller getting third opinion on elbow from Dr. James Andrews

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Diamondbacks starter Shelby Miller was placed on the 10-day disabled list on Monday due to inflammation in his right elbow. He had a second opinion from Dr. Neal ElAttrache on Tuesday and is currently awaiting a third opinion from Dr. James Andrews, Craig Grialou of Arizona Sports reports. That he’s getting a third opinion seems to imply that Miller’s elbow issue is rather serious.

Miller, 26, hasn’t been able to catch a break since joining the Diamondbacks. Last year’s nightmarish season included a finger injury stemming from mechanical woes and a brief demotion to the minor leagues. In 20 starts in the majors last year, Miller posted an ugly 6.15 ERA. This year, his ERA is a mediocre 4.09 over four starts.

The Diamondbacks called up Zack Godley to take Miller’s spot in the rotation. There was some speculation that it would be Archie Bradley instead, but he’s been working out of the bullpen.