Queasy Beads® is the registered trademark for the first beaded acupressure nausea bracelets to be uniquely designed to fit our exact wrist measurements at the P6 acupressure points located on our inner wrists. The large acupressure beads apply light pressure to activate our P6 points for symptom relief. Easy measuring instructions are explained below. Queasy Beads® are handcrafted in the USA and specifically custom designed using high quality beads and beautiful gemstones. Special stretch cording, specifically used for Queasy Beads®, allows the bracelets to slide easily over our hands and stay in place without stretching out of shape. Queasy Beads® rest comfortably snug on your inner wrists and never feel too tight. They stay in place and work quickly and effectively within 10 minutes to relieve your nausea symptoms. Or, they can be worn ahead of time to prevent nausea. With your purchase you will receive two (2) Queasy Beads® bracelets ~ one bracelet to wear on each wrist ~ and a charming carrying pouch as my gift to you. MEASURING INSTRUCTIONS: The circumference measurement needed is 3 fingers down from your palm on your inner wrist, in the middle, exactly where your index finger rests. With palm facing up, gently wrap the tape around your wrist at this point. Don't pull the tape too tight, just wrap it around until it reaches "0" on the end of the tape. Please measure both wrists. (Please note: A strip of paper and a straight ruler can also be used).