The Equality beaded medical bracelet represents equal rights and treatment to all individuals. The black lava stones exhibit an intense calming energy that is fantastic for stabilizing and grounding. The porous nature of these stones make them very lightweight and a perfect carrier of essential oils. A few drops of oil and you can enjoy the benefits of aromatherapy. All N-Style ID beaded medical bracelets should be removed before showering or water activities and are not recommended for everyday wear. For everyday wear, we recommend switching the beaded bracelet to the discounted stainless steel chain bracelet or one of our other stainless steel chain bracelets Charms pictured are sold separately and will come attached to the ID tag.