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How to check if HAVE_USLEEP is activated?
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In my humble opinion, any development that needs this kind of detail should not use the amalgamation, but rather a checkout of a clone of the SQLite repository.

That said, config.h can be safely removed, and recreated by running ./configure, which will fill in the platform specific details.

`make sqlite.c` will build the amalgamation again.

Besides, keeping a clone of the repository up to date instead of downloading the amalgamation for every release is network friendly.