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This stylish mesh stainless steel lymphedema medical alert bracelet is pre-engraved with “Lymphedema No Needle or BP on Left Arm” on the back of the Medical ID Tag. The tag is made of 316L Surgical Grade Stainless Steel. The band is made to wear similar to a watch and can be adjusted in a similar fashion from 6” to 8” inches. It can adjusted in 1/8” increments. You can wear it as snug or loosely as feels comfortable.NOTE: To adjust the band 1) use the tip of a flat nose screwdriver to lift the adjustable clasps open 2) then move the clasp to the position of your choice 3) then close the clasp to lock into position.