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This is a Stunning 5 mm Titanium Tension Setting with a 4 mm Heart Shaped Gemstone. Choose the gemstone you want from: Blue Topaz, Alexandrite, Citrine, Mystic Topaz (currently sold out), Peridot, White Topaz, Aquamarine, Amethyst or Garnet. Indicate in the Gift Messaging what gemstone you would like. Ring is available in sizes 4.5-11 in whole, half and quarter sizes!!