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Die struck, oval miraculous medal is made of solid 10k white gold with rhodium plating. The back has a cross, M two hearts and 12 stars. Item measures 9/16 inch wide by 7/8 inch tall without loop and bail. This item is the size of a nickel. Approximate weight: 2.0 grams. Mary instructed St. Catherine Laboure of Paris to create and distribute miraculous medals in 1830. Fits up to a 3mm wide chain. Made in USA.