★ American Made in the USA. Fifth Energy bracelets are double strung on a high-tension latex free cord for superior strength and durability that keeps its shape and lasts for years. Every bracelet is hand strung, and every bead inspected. Your bracelet comes in a gift box with a beautiful insert. ★ How to Determine Wrist Size:   Choose a place where you would normally wear a bracelet then use a ribbon measuring tape or even a strip of paper and measure your wrist. To use the strip of paper, mark where the end of the bracelet needs to be and then measure the paper with a ruler. No matter the method, the measurement is the wrist size. ★ How to Determine Bracelet Size:   Increase the wrist measurement in the following increments to determine the bracelet size for how you want the bracelet to fit. Add 1/4 to 1/2 inch for a snug fit. Add 3/4 to 1 inch for a comfortable fit. Add about 1-1/4 inch for a loose fit. If gifting the bracelet and you don’t know their wrist size it is best to order a 7.75.