Hand Trades Diabetic, Epileptic, Coumadin, Medical Alert, Personalize Cuff, Personalize Jewelry, Cuff Bracelet, Brass Bracelet, Medical Awareness From our inspiring collection of today's stylish and trendy designs. You're going to love this adjustable cuff bracelet. Wear it alone or layer it with other pieces. Mix and match for your own personal look. Made by the professional artisans at Hand Trades with over 15 years experience in crafting jewelry and accessories. Handcrafted in the USA. Any needed adjustments, replacements or repairs are done by the same artisan hands that make this item. We're so confident that you'll love this item that we offer a 100% money-back guarantee with every purchase.