Silver Tone Antiqued Medical Caduceus Seal - Longhorns Affirmation Ring Necklace. Silver Tone Medical Caduceus Seal - is approx. 0.78 x 0.66 x 0.15 (HxWxD) including loop. Antiqued Seal Design with a Caduceus on both sides. Silver tone 2mm Belcher Chain Necklace is approx. 23 Inches with a Lobster Claw Clasp. Affirmation Ring is approx. 0.86 x 0.86 x 0.05 (HxWxD). This inspirational piece of jewelry is very meaningful. Its circular shape is symbolic for endless belief in the message that is imprinted around the ring. These are motivational or sentimental messages to the wearer. Makes a great gift for Birthdays! PLEASE NOTE: Our products are lead safe, but are not intended for children 14 years and younger.