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USA Gymnastics spokeswoman Carol FabriziotoldUSA Todaythat Biles will not compete in the remaining events.
Simone has withdrawn from the team final competition due to a medical issue, she said.
She will be assessed daily to determine medical clearance for future competitions.
She seemed to change her mind in mid-air, doing just 1 1/2 twist instead.
Biles, visibly upset, talked with one of her coaches and a team doctor.
She put on her gear for the next event, the uneven bars, but then left the arena.
She returned with a heavily strapped foot and sat on the sidelines in a track suit.
Teammate Jordan Chiles was subbed in for Biles on bars.
Still, losing Biles will make the Americans attempt to claim a third straight Olympic title far more difficult.
The Americans will only be able to overcome the gap if they perform exceptionally well and the Russians stumble.
