If the matter is referred to WADA  for review, the TUE granted by the National Anti -Doping Organization  remains valid for national -level Competition  and Out-of-Competition Testing  (but is not valid for international -level Competition ) pending WADA’s  decisio n. 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 remai n 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 ).