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Why did Dellin Betances decline during the second half of 2015?

In 2014 and 2015, Dellin Betances put together one of the best two year stretches of relief pitching in history. Over his first two full seasons with the Yankees, he maintained a 1.45 ERA and struck out 39.5% of the batters he faced. Betances managed these feats despite easily leading all relievers in innings these past two years, totaling a startling 174 innings. To dominate so thoroughly, so frequently, during a time when the best relievers are often reserved exclusively for three-out save situations, is practically unheard of. In fact, during the wild-card era, no reliever has posted a season with more innings and a better ERA+ than Betances has had in both 2014 and 2015, according to Baseball Reference:

Yet, during the second half of 2015, Betances exhibited notable signs of decline.