***MEDICAL ID TAG NOT INCUDED***
I hand make all of my bracelets which come with 2 extenders so that the size can be increased up to 1/2 inch. 
All bracelets are made with Stretch Cord for easy on & off!
My bracelets are one of a kind, I do not make multiples.
This bracelet is made with 16mm pearl shells & 6mm shell beads, silver plated spacers & lobster claw clasp. 
If you have a size request or custom order, please feel free to send a message.
Made in a smoke free/pet free home. 
If multiple bracelets are purchased, shipping will be combined. 
Thank you for looking!