St. Jude gorgeous heirloom medallion in our Gracelet bracelet. Bangle fits most wrists comfortably. The bangle and medals are 14K gold or sterling silver plated. The medallion is imaged from an original antique European medallion. The lovely bracelet comes with a gift card that reads, "Reinvented Vintage Medallions inspire beautiful jewelry, continuing God's love and grace as the jewelry travels."