ALS - Blue & White Swarovski Crystal and Pearl & Sterling Signature Awareness Bracelet Supports ALS-Amyotrophic Lateral Sclerosis Awareness (Lou Gehrig's Disease) Multiple sizes available 7 (XS) 7.25 (S) 7.5 (M) 7.75 (L) 8 (XL) Measure wrist and add 1 inch for proper sizing (see sizing guide) Awareness Ribbon Charm Anti-Tarnish Ultra Suede Pouch