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Simone Biles made history on Thursday by becoming the first woman gymnast to win four all-around world championships. Not only did Biles break a record at the 48th Artistic Gymnastics World Championships in Doha, Qatar, she overcame several challenges — including her own high standards, The Associated Press reports.

Biles made several mistakes during the competition but still managed to dominate. She slipped off the beam and stepped out of bounds on her floor exercise. She also sat down her vault in the first rotation. But what makes her historic win even more astounding is that Biles was battling kidney stones while competing.

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