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With Hanley Ramirez struggling, Red Sox considering others at DH

It’s not just Hanley Ramirez’ shoulders and knees that could be keeping him out of the Red Sox lineup going forward.

His numbers may play a role, manager John Farrell said on Tuesday.

Ramirez was held out of the lineup for the second straight game because of a sore knee after he was hit by a pitch on Sunday. Farrell was uncertain if Ramirez would be available to pinch-hit. He is considered day-to-day.

How much of a loss is it to have Ramirez on the bench? That’s the question the Red Sox need to answer.

Entering Tuesday, Ramirez ranked 10th out of the 13 full-time American League designated hitters with negative-0.