There is a sizing chart included in the product photos for reference
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Red and White Ribbon - Let Your Faith be Bigger Than Your Fear Size:20 Inch There is a sizing chartThis listing is for a beautiful, handmade red and white ribbon necklace. The Red and White Ribbon usually represents Aplastic Anemia, Deep Vein Thrombosis (DVT), Head and Neck Cancer survivor, Oral Cancer awareness, Squamous Cell Carcinoma, Oral Squamous Cell Carcinoma, Throat Cancer, Laryngeal Cancer, and Pharyngeal Cancer awareness. * The 1 inch pendant is laser cut, silver, and reads: Let Your Faith be Bigger Than Your Fear * Cause ribbon charm is