Toronto Blue Jays right-hander Alek Manoah (arm) received multiple injections to his pitching arm in recent weeks following extensive visits with medical professionals, according to industry sources, and he's been officially shut down in 2023. The shots were intended to reduce inflammation and discomfort after no structural issues were found by doctors. In 2022, Manoah finished third in American League Cy Young voting with a 2.24 ERA in 196 2/3 innings. Early season struggles in 2023 caused him to be demoted to the Florida Complex League on June 6. He eventually returned to Toronto on July 7 and made six more starts, but he was mostly ineffective and was optioned back to Triple-A Buffalo. It's going to be an interesting offseason for the 25-year-old, and needless to say he's probably not going to be on many fantasy radars in 2024 until he proves his 2022 form is back.

Boston Red Sox infielder Luis Urias (calf) was forced to exit early during Wednesday's game against the Texas Rangers. Urias was lifted from the contest for a pinch-runner in the seventh inning of Wednesday's contest. The team is calling the injury left calf tightness, so for now fantasy managers should consider Urias as day-to-day. The assumption is that he'll undergo additional testing to determine the severity of the injury. The Red Sox will likely use a committee approach to fill the void if Urias does miss time.

The Chicago White Sox placed right-hander Gregory Santos (elbow) on the 15-day injured list on Wednesday with right-elbow inflammation and reinstated left-hander Garrett Crochet (shoulder) from the 15-day injured list in a corresponding move. The move ends Santos' 2023 season. The 24-year-old reliever hadn't pitched since Sept. 16 and will now be ineligible to return this year. Santos was not good in his role as the team's closer in the second half of the season, and he posted a rough 6.00 ERA, 1.47 WHIP and three saves in six chances in the second half. The White Sox's bullpen just isn't really a place that fantasy managers chasing saves down the stretch should be looking at. With Santos now out, Bryan Shaw and Aaron Bummer figure to share save opportunities to close out the year.

Oakland Athletics outfielder JJ Bleday (knee) will begin a rehab assignment with Triple-A Las Vegas on Friday, according to Martin Gallegos of MLB.com, and manager Mark Kotsay told reporters he could return next week if there are no setbacks. The former fourth-overall draft pick suffered an ACL sprain and hasn't played in the Majors since mid-August. Bleday has 77 games under his belt this season, and he's slashed .203/.313/.373 with 10 homers, 34 runs, 27 RBI, and five steals. He doesn't have much relevance in any format, even when healthy, so fantasy managers can ignore the 25-year-old once he's back in action.

Tampa Bay Rays infielder Tristan Gray went 2-for-4 at the plate in his major league debut Sunday against the Orioles. Gray made the most of his opportunity as one of his hits was a solo shot off of Baltimore's right-handed reliever Jorge Lopez. Before being called up, the 27-year-old posted a slash line of .234/.309/.482 in 127 games this season in Triple-A Durham. Despite striking out 160 times with Durham, Gray did smash 28 homers.

Oakland Athletics pitcher Sean Newcomb (knee) was placed on the IL with a strained left knee. Right-handed pitcher Joe Boyle was selected from Triple-A Las Vegas to replace Newcomb on the roster. The last two appearances for the lefty have been starts as he combined for seven innings, giving up four earned runs. The 30-year-old was once a top prospect but has fallen on tough times over the last three-plus years. He was given another shot to start late in the season for the A's but struggled in his second outing and will now be on the shelf.

Boston Red Sox right-hander Corey Kluber (shoulder) won't pitch again this season, according to MLB.com. The 37-year-old was in the middle of a rehab assignment but will instead focus on getting healthy during the offseason from shoulder inflammation that's kept him on the shelf since June 20. Kluber's first season in Boston wasn't pretty, as he sported a 7.04 ERA and 1.64 WHIP with 42 punchouts over 55 innings split between the rotation and bullpen. The former MVP will likely enter 2024 as a free agent, as the Red Sox hold a club option, and he'll look to start fresh elsewhere.

Texas Rangers relief pitcher Ian Kennedy (shoulder) has been placed on the 60-day injured list with a strained right rotator cuff. The 38-year-old veteran mostly struggled this season, putting up a 7.16 ERA, 1.41 WHIP, and 21:7 K/BB ratio over 16 1/3 innings (16 appearances). His season is now done, even if the Rangers were to make a deep playoff run. Left-handed pitcher Jake Latz had his contract selected from Triple-A Round Rock in a corresponding move.

Tampa Bay Rays infielder Tristan Gray has had his contract selected from Triple-A Durham and is slated to make his MLB debut this weekend. Infielder Taylor Walls was placed on the paternity list so Gray will take his place on the roster. The 27-year-old prospect has some swing and miss to his game with a .234/.309/.482 batting line and 160 strikeouts over 127 games with the Durham Bulls this season. He does have 28 home runs, however, and bopped 33 last season at the same level. He likely won't be up for long and he doesn't hold much fantasy value as a result of that.

New York Yankees relief pitcher Anthony Misiewicz (face) was taken off in a cart Friday night after being hit in the head by a line drive. Ji-hwan Bae hit a 100.6 mph comeback shot that connected with Misiewicz's head on the left side. He stood up on his own power so hopefully, everything will be alright for the left-hander. Well wishes go out to him during this time.

Minnesota Twins right-hander Chris Paddack (elbow) went four innings in a minor-league rehab start for Double-A Wichita earlier this week, allowing two earned runs on four hits while walking none and striking out six. It was Paddack's second rehab appearance since coming back from Tommy John surgery, and the six strikeouts and no walks have to be considered a very positive development. The 27-year-old feels great after throwing 58 pitches in the start. He's next scheduled to move to Triple-A St. Paul to continue his rehab assignment, and he's expected to make his next appearance out of the bullpen. If he doesn't encounter any setbacks, Paddack could come off the 60-day injured list to make his 2023 debut at the tail end of the season for the Twins.

Toronto Blue Jays right-hander Alek Manoah, an All-Star a year ago, has been shut down for the rest of the season after struggling and being sent to the minor leagues two separate times. "At the current time he feels like he's not ready to compete so we're going to respect that and kind of move on from it," manager John Schneider said. "We've been working through every decision with him together as a group and respecting his requests along the way." The 25-year-old former first-rounder last pitched for the Blue Jays on Aug. 10, and the team claimed he had undergone physical testing, although the specifics haven't been revealed. It's been a bizarre fall for a big arm. In his 19 starts for Toronto in 2023, he went 3-9 with a 5.87 ERA, 1.74 WHIP and 79 K's in 87 1/3 innings. It's impossible to know what to expect from Manoah in 2024 right now, but obviously his stock has fallen drastically.

Minnesota Twins third baseman Jose Miranda (shoulder) is set to have surgery on his right shoulder on Thursday. The Twins will provide more information on Miranda's surgery after the operation this week, but he will obviously not play again in 2023. Barring a setback over the winter, the 25-year-old should be ready to go for the start of the 2024 season, but that remains to be seen. The third baseman has been out of action due to a right-shoulder impingement since the middle of July. The Puerto Rican right-handed hitter really struggled in 40 games for the Twins this year in his second year in the majors, hitting just .211 (30-for-142) with three home runs, four doubles, 13 RBI and 12 runs scored. Hopefully, he can turn it around in 2024 with better health.

The New York Yankees claimed right-hander Luke Weaver off waivers from the Seattle Mariners on Tuesday and moved left-hander Nestor Cortes (shoulder) to the 60-day injured list in a corresponding move to open up a spot on the 40-man roster. The Mariners designated Weaver for assignment last weekend after he allowed nine earned runs on 16 hits (two homers) while walking three and striking out eight in 13 1/3 innings over five outings (one start) for them. The 30-year-old has posted a rough 6.77 ERA (5.75 FIP), 1.61 WHIP, 37 walks and 93 strikeouts in 110 1/3 innings over 26 appearances (22 starts) for the M's and Cincinnati Reds in 2023, so he's basically been well off the fantasy radar all year.

New York Yankees reliever Jonathan Loaisiga has been placed on the 15-day injured list due to right elbow inflammation. In a corresponding move, right-hander Zach McAllister was signed to a major league contract and selected to the active roster prior to Tuesday's doubleheader with the rival Red Sox. Additionally, first baseman Anthony Rizzo has been transferred to the 60-day injured list (concussion symptoms). The 28-year-old Loaisiga has appeared in just 17 games this season after having a bone spur removed from the same elbow early in the season, working to a quality 3.06 ERA in that time, although his 4.71 SIERA and minuscule 8.7% K% left plenty to be desired. It would not be surprising to see the Yankees shut the hard-throwing righty down for the remainder of the season given his long list of injury woes.

New York Yankees relief pitcher Ian Hamilton (groin) could be activated from the 15-day injured list during the series against the Pittsburgh Pirates that begins this Friday, while reliever Keynan Middleton (shoulder) is a little behind Hamilton and may not return until next week during the homestand against the Toronto Blue Jays. Hamilton is trying to return from a right-groin strain and may not even need a minor-league rehab appearance before rejoining New York's bullpen. The 28-year-old has a nice 2.24 ERA, 1.15 WHIP, two saves and 64 K's in 52 1/3 innings this year over 35 games (three starts). Middleton is eligible to return from the IL on Sept. 19. The 30-year-old has a 3.08 ERA, 1.21 WHIP, two saves and 64 K's in 49 2/3 relief innings with the Yankees and Chicago White Sox in 2023.

Toronto Blue Jays first baseman/designated hitter Brandon Belt (back) left Monday's game early against the Texas Rangers due to lower-back muscle spasms. Before he left, Belt went 0-for-2 with two strikeouts to drop his season average to .251 and his OPS to .839 on the year. He was replaced as the designated hitter by rookie Spencer Horwitz. The 35-year-old Belt has been dealing with some back issues in the second half of the season, and this is certainly something that could send the veteran left-handed hitter to the injured list for most, if not all, of the 2023 regular season. Belt entered Monday's game hitting .252/.371/.473 with an .844 OPS, 16 home runs, 38 RBI and 50 runs scored in 317 at-bats in his first year in Toronto.

It's becoming more and more likely that Toronto Blue Jays right-hander Alek Manoah won't pitch again this year more than a month after he last pitched in the big leagues, according to sources familiar with the situation. No structural damage was found in his knee, back or right quadriceps after the 25-year-old got further medical testing done last week. However, a source said Manoah's lingering physical issues are leading him to prioritize rest and recovery in the hopes that his health will benefit in the short- and long-term. He hasn't pitched off a mound in a month and just two weeks are left in the Triple-A schedule. Manoah has been sent to the minors twice in 2023 and has a 5.87 ERA (6.02 FIP) and 1.74 WHIP in 19 starts for Toronto after he was a first-time All-Star in 2022.

The New York Yankees officially placed outfield prospect Jasson Dominguez (elbow) on the 10-day injured list (retroactive to Sept. 10) with a right UCL tear on Monday and selected the contract of outfielder Estevan Florial from Triple-A Scranton/Wilkes-Barre in a corresponding move. Florial will return to the majors after impressing at Scranton/Wilkes-Barre in 2023, as he slashed .284/.380/.565 with a .945 OPS, 28 home runs, 23 doubles, four triples, 79 RBI, 25 stolen bases and 83 runs scored in 101 games. However, the 25-year-old Dominican has hit just .185 (10-for-54) with a homer and 21 strikeouts in 63 plate appearances in his 30 MLB games over the last four years, so he won't be guaranteed regular playing time down the stretch in the Bronx.

Toronto Blue Jays first baseman/designated hitter Brandon Belt (illness) remains out of Sunday's lineup versus the Kansas City Royals. The 35-year-old hasn't been seen in action since last Sunday due first to a back problem and now a stomach virus. Belt's next opportunity to return arrives on Monday for Game 1 of a four-game set with the Texas Rangers. The one-time All-Star is slashing a dependable .252/.371/.473 with 16 home runs, 22 doubles, and 38 RBI in 380 plate appearances, so he's been relevant in AL-only leagues.