If the matter is not referred to WADA  for review within the twenty -one (21) day deadline, the Athlet e’s National Anti -Doping Organisation  must determine whether the original TUE granted by that National Anti -Doping Organisation  should nevertheless remain valid for national -level Competition  and Out-of-Competition Testing  (provided that the Athlete  ceases  to be an International –Level Athlete  and doe s not participate in international -level Competition ).