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Sajan, the first-ever Indian swimmer to breach the 'A' standard time for the Olympics, had suffered a slipped disc in 2019.
McKeon then became the first female swimmer of any nationality to win seven medals at a Games when she swam the butterfly leg in the medley relay.
Sajan has made it clear that he will bounce back from the setback and vowed to work hard.
Australia's sensational run continued with Kaylee McKeown winning the 200m backstroke for their seventh gold in the pool.
A study conducted across eight cities in India suggests that nearly one-third of people living with hypothyroidism experience the disorder but are unaware of it due to a lack of diagnosis.
Team China clocked seven minutes and 40.33 seconds, 1.17 faster than the previous record of 7:41.50 held by the Australians.
Keralite Sajan clocked 53.45s to finish second behind Abeku Jackson of Ghana (53.39s) in his heat in in 100m butterfly.
The 23-year-old, who finished runner-up to Canada's Margaret MacNeil in the 100m, touched the wall in 2:03.86, well ahead of the US pair Regan Smith and Hali Flickinger, to win China's first swimming gold of the Games.
The Indian men's hockey team will look to seal its place in the quarterfinals with a win over defending champions Argentina.
After a disappointing fifth-place finish in 200m freestyle, Ledecky clinches the inaugural 1,500m freestyle gold in swimming.