What’s wrong with Justin Verlander?

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Justin Verlander got off to a great start this season, posting a 2.48 ERA in April, but he’s looked unlike his usual dominant self since the calendar flipped to May and that continued this afternoon with a rough outing against the Blue Jays.

Verlander allowed six runs in seven innings versus Toronto, serving up two homers, and has now allowed 33 runs in 46 innings since May 1 for a 5.67 ERA over seven starts. Even the best players struggle at times and certainly seven poor starts is hardly the end of the world for Verlander, but his 30/20 K/BB ratio during that time is uncharacteristic as well and his average fastball velocity is down to a career-low 92.2 miles per hour.

In fact, Verlander’s average fastball has declined from 95.0 to 94.3 to 93.3 to 92.2 since 2011. So he’s throwing slower than ever, he’s struggling for the past 5-6 weeks, and his strikeout rate of 6.4 per nine innings is his lowest since he was a 23-year-old rookie in 2006. Maybe it’ll all prove to be a minor speed bump for the former MVP and Cy Young winner–he was actually throwing a little harder today, for instance–but at age 31 and in the second season of a seven-year, $180 million contract extension it’s definitely cause for concern.

He’s scheduled to face rookie slugger Jose Abreu and the White Sox’s third-ranked offense next week, in Chicago.

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.