If the strap assembly requires the use of a tool such as scissors, that should be the first warning sign not to buy the product. I obviously didn't follow this rule. Finally when you have corrected the size and tried to fit the bracelet on your wrist you pretty much need a double joint to hold the bracelet on your wrist and try to get the two parts of the clasp in place to to hook them together. . Good luck, because the two pieces don't connect easily, and even if you successfully snap the top of the clasp over the bottom, it quickly falls apart. It eventually becomes Asian ordeal trying to fit the two parts of the clasp together and when they finally connect it becomes clear that they are not really connected and will soon keep falling apart. For the sake of your patience and common sense, and knowing that you are wearing a reliable medical alert bracelet that will not come into the home when you wear it, DO NOT BUY THIS PRODUCT.
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