If the matter i s 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 nat ional -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 ).