If the matter is not referred to WADA  for review within the twenty -one (21) day deadline, the Athlete ’s National Anti -Doping Organization must determine whether the original TUE granted by that National Anti -Doping Organization  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 does not participate in international -level Competition ).