BOSTON (AP) — Left-hander Chris Sale left Boston's game against Cincinnati on Thursday night after Red Sox manager Chris Sale and a member of the training staff visited the mound twice in the fourth inning.

Sale came out with two out after walking Nick Senzel, with Boston trailing 1-0. Sale struck out five in 3 2/3 innings. He came into the game with a 5-2 record and 4.72 ERA.

The 34-year-old pitcher has struggled to stay healthy during the majority of his time in Boston, undergoing Tommy John surgery in 2020.

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