This necklace comes with a stainless steel laser engraved charm pendant on a silvertone bale on a stainless steel box chain. The pendant has “Gastric Bypass No NSAIDs No Blind NG Tube” and a medical caduceus on it.

The pendant is also available for individual purchase if you have another chain on which you would like to wear it. The charm measures approx. 3/4 inch across.

This jewelry item has small parts and is not intended for anyone under the age of 14.

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