On August 14, 2024, KOBAYASHI PHARMACEUTICAL released a news release stating that it had underreported 11 deaths to the Ministry of Health, Labour and Welfare (MHLW) regarding deaths of people suspected of being related to health products containing monascus ingredients. KOBAYASHI PHARMACEUTICAL said that it "failed to report cases that should have been reported".

The total number of deaths requiring detailed investigations as of the 8th of this month is 113, when the omitted cases are added to the number of cases that have been reported.