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You need to wear the necklace 4-5 days before results, but I actually did notice less pain after eating a trigger food on my 5th day! I was very impressed. They wear off about 3-12 months in, depending on how acidic you are (I am told), and some might think the cost of replacing is unpleasant, but for me I think it's totally worth it. I usually spend over the cost of this necklace on one month of OTC heartburn meds and the necklace lasts far longer. I was very pleased with the results.
Not only are they good for you, they are very pretty. I got several compliments when wearing one or more of the pieces. They are easy to wear and sleep in. The necklace connector is two beads that screw into each other and the bracelet is stretchy. They are all easy to wear.