If you have a Pacemaker you should not wear magnets. However, we can make your bracelet without the magnets. It will still have the other 3 elements, so you will still feel the benefits. If you would like to purchase one of our bracelets without the magnets, please leave a note at the Checkout to make your bracelet without magnets. Please note, this option is only availble for the 4in1 Magnetic bracelets. We have 1 copper bracelet that we offer without magnets, this option can be seen here.