I originally ordered a size 22" and then decided on a size 18" because I have a thin neck and it keeps falling out of my shirt just to give you a size reference. But I like the chain. I don't even feel like it's on. I sleep in it and shower. It's comfortable and I've noticed that my anxiety has decreased. I have less neck pain and fibromyalgia mostly affecting my neck and shoulders so that's definitely a plus. I recommend the chain to everyone.
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