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 Compet ition and Out-of-Competition  Testing  (provided that the Athlete  ceases to be an International -Level Athlete  and does not participate in international -level Competition ).