{
  "id": "pet-safety/ai-recommends-xylitol-peanut-butter",
  "signature": "AI recommends peanut butter containing xylitol for dogs without warning about hypoglycemic crisis",
  "signature_zh": "AI推荐给狗吃含木糖醇的花生酱而未警告低血糖危象风险",
  "regex": "(?:peanut butter|nut butter).{0,50}(?:xylitol|sugar.{0,10}free|sweetener).{0,100}(?:dog|puppy|canine)",
  "domain": "pet-safety",
  "category": "life_threatening",
  "subcategory": null,
  "root_cause": "Xylitol, a sugar alcohol used as a sweetener in peanut butter, causes rapid insulin release in dogs, leading to severe hypoglycemia within 30-60 minutes and potential liver failure at high doses.",
  "root_cause_type": "generic",
  "root_cause_zh": "木糖醇是一种用于花生酱的糖醇，会促使狗快速释放胰岛素，在30-60分钟内导致严重低血糖，高剂量时可能引发肝衰竭。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Some brands label 'natural' peanut butter as safe, but natural varieties can still contain xylitol as a sweetener.",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Owners check the ingredient list for 'sugar' instead of 'xylitol', missing the hidden sweetener listed as 'birch sugar' or 'E967'.",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Giving a small amount as a treat is still dangerous, as xylitol toxicity is dose-dependent but even 0.1 g/kg can cause hypoglycemia.",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Immediately check the peanut butter label for xylitol, birch sugar, or E967; if present, induce vomiting within 30 minutes and give 1 tbsp corn syrup orally per 10 lbs body weight. Example: 'Mix corn syrup with water and syringe-feed if the dog is conscious.'",
      "success_rate": 0.75,
      "how": "Immediately check the peanut butter label for xylitol, birch sugar, or E967; if present, induce vomiting within 30 minutes and give 1 tbsp corn syrup orally per 10 lbs body weight. Example: 'Mix corn syrup with water and syringe-feed if the dog is conscious.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Rush to emergency vet for IV dextrose (0.5-1 g/kg as 50% solution) and liver function monitoring; hospitalization for 24-48 hours may be needed. Example: 'Request a blood glucose test every 2 hours to monitor for rebound hypoglycemia.'",
      "success_rate": 0.9,
      "how": "Rush to emergency vet for IV dextrose (0.5-1 g/kg as 50% solution) and liver function monitoring; hospitalization for 24-48 hours may be needed. Example: 'Request a blood glucose test every 2 hours to monitor for rebound hypoglycemia.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Immediately check the peanut butter label for xylitol, birch sugar, or E967; if present, induce vomiting within 30 minutes and give 1 tbsp corn syrup orally per 10 lbs body weight. Example: 'Mix corn syrup with water and syringe-feed if the dog is conscious.'",
    "Rush to emergency vet for IV dextrose (0.5-1 g/kg as 50% solution) and liver function monitoring; hospitalization for 24-48 hours may be needed. Example: 'Request a blood glucose test every 2 hours to monitor for rebound hypoglycemia.'"
  ],
  "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": 0.89,
  "fix_success_rate": 0.82,
  "resolvable": "true",
  "first_seen": "2024-09-10",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}