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Simone Biles has withdrawn from the individual all-around gymnastics competition at the Tokyo Olympics "to focus on her mental health".
It comes after she pulled out of the team event after an uncharacteristically poor performance on the vault on Tuesday.
Biles had posted a lengthy statement on Instagram prior to the team final – which the USA eventually lost to the Russian Olympic Committee – saying she felt she "had the weight of the world on her shoulders".
A statement from USA gymnastics read: “After further medical evaluation, Simone Biles has withdrawn from the final individual all-around competition at the Tokyo Olympic Games, in order to focus on her mental health.
Biles has pulled out of a second event in as many days
(Image: Sergei Bobylev/TASS)
“Simone will continue to be evaluated daily to determine whether or not to participate in next week’s individual event finals.
“Jade Carey, who had the ninth highest score in qualifications, will participate in her place in the all-around.
“We wholeheartedly support Simone’s decision and applaud her bravery in prioritizing her well-being. Her courage shows, yet again, why she is a role model for so many.”
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Biles is one of the undoubted superstars of the Games – and had even been tipped to take home an unprecedented eight gold medals from Tokyo.
She won six golds in Rio and was hoping to build on the success which has seen her widely considered as the greatest gymnast of all time.
In her Instagram post earlier this week, after the prelims of the team event but before withdrawing from the final, Biles said: "It wasn’t an easy day or my best but I got through it.
A decision on Biles' further participation at the Olympics will be made in due course
"I truly do feel like I have the weight of the world on my shoulders at times.
"I know I brush it off and make it seem like pressure doesn’t affect me but damn sometimes it’s hard hahaha! The olympics is no joke!
"BUT I’m happy my family was able to be with me virtually they mean the world to me!"