{
  "id": "pet-safety/ai-recommends-using-xylitol-containing-peanut-butter-for-dog-medication-without-warning-about-hypoglycemia",
  "signature": "AI recommends using xylitol-containing peanut butter for dog medication without warning about hypoglycemia",
  "signature_zh": "AI推荐使用含木糖醇的花生酱喂狗吃药，未警告低血糖风险",
  "regex": "xylitol.*peanut.*butter.*dog|peanut.*butter.*medication.*dog|sugar.*free.*peanut.*butter.*canine",
  "domain": "pet-safety",
  "category": "life_threatening",
  "subcategory": null,
  "root_cause": "Xylitol, a sugar substitute in many peanut butters, causes rapid insulin release in dogs leading to severe hypoglycemia within 30-60 minutes, potentially causing seizures, liver failure, and death.",
  "root_cause_type": "generic",
  "root_cause_zh": "木糖醇是许多花生酱中的糖替代品，会导致狗快速释放胰岛素，在30-60分钟内引起严重低血糖，可能导致癫痫、肝衰竭和死亡。",
  "versions": [
    {
      "version": "pet-safety-dataset-v2.8",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "ai-pet-advice-model-2023.4",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "pet-toxicity-db-2023.10",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Many 'natural' brands still add xylitol as a sweetener; labels must be read carefully, and even trace amounts are dangerous",
      "fail_rate": 0.6,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Xylitol is extremely potent in dogs; as little as 0.1 g/kg can cause hypoglycemia, and many peanut butters contain 0.5-1 g per tablespoon",
      "fail_rate": 0.75,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Almonds are not toxic to dogs but can cause gastrointestinal upset and pancreatitis due to high fat content; also, almond butter may contain xylitol",
      "fail_rate": 0.3,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Use 100% pure pumpkin puree (not pie filling) or plain unsweetened applesauce as a pill pocket. Check labels: any peanut butter must have 'xylitol-free' explicitly stated. Safe brands include Smucker's Natural (no xylitol) and Teddie Super Chunky.",
      "success_rate": 0.9,
      "how": "Use 100% pure pumpkin puree (not pie filling) or plain unsweetened applesauce as a pill pocket. Check labels: any peanut butter must have 'xylitol-free' explicitly stated. Safe brands include Smucker's Natural (no xylitol) and Teddie Super Chunky.",
      "condition": "",
      "sources": []
    },
    {
      "action": "If xylitol ingestion is suspected, immediately induce vomiting with 3% hydrogen peroxide (1 tsp per 10 lbs body weight, max 3 tbsp) and rush to emergency vet for IV dextrose and monitoring.",
      "success_rate": 0.78,
      "how": "If xylitol ingestion is suspected, immediately induce vomiting with 3% hydrogen peroxide (1 tsp per 10 lbs body weight, max 3 tbsp) and rush to emergency vet for IV dextrose and monitoring.",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Use 100% pure pumpkin puree (not pie filling) or plain unsweetened applesauce as a pill pocket. Check labels: any peanut butter must have 'xylitol-free' explicitly stated. Safe brands include Smucker's Natural (no xylitol) and Teddie Super Chunky.",
    "If xylitol ingestion is suspected, immediately induce vomiting with 3% hydrogen peroxide (1 tsp per 10 lbs body weight, max 3 tbsp) and rush to emergency vet for IV dextrose and monitoring."
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.petpoisonhelpline.com/poison/xylitol/",
  "official_doc_section": null,
  "error_code": "PET-XYLITOL-PB-001",
  "verification_tier": "ai_generated",
  "confidence": 0.95,
  "fix_success_rate": 0.91,
  "resolvable": "true",
  "first_seen": "2023-10-22",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}