ketogeniks keto over Sterling Silver, 9 carat Gold - (37.5% Gold), Rolled Gold - brass and gold pressed and rolled together at high heat, Surgical Steel - considered hypoallergenic, Titanium - for those intolerant to metal fittings, Which can be obtained at reasonable prices (some are only available as Shepherds Crook fittings). Less common and at more expense: 18 carat Gold 24 carat Gold Pure Silver can be found, and in some countries gold-filled ear wires are available.
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