Simone Biles may go down as the greatest gymnast who ever lived, and yet her most important routine will be one she didn’t even perform.

When the U.S. star pulled out in the middle of the women’s team final at the Tokyo Olympics and cited a need to protect her mental health as a reason, it sent shock waves throughout the sports world that will reverberate for years.

Mental health awareness in sports did not begin at these Olympics, but they provided the platform for it to explode into public consciousness like never before.