Gadow Jewelry Gastric Bypass Medical ID Alert Italian Charm Bracelet More noticeable and easier to read. Since this charm is slightly raised the letters are more visible. Any size. We will send a standard 7 inch shiny stainless steel bracelet unless you contact us with another size. Stretches over your hand. We have other medical charms you can purchase and add in this bracelet if needed. Italian charms are always interchangeable if you decide to take out or add other Italian charms. You will also receive 3 extra links and instructions on how to add or take out charms and links.