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Round Birthstones are nestled between 14K gold plated X 's to form the attractive X and O design. Great item to wear stacked. Rings are available in all 12 birthstone colors and are sized from 5 through 10. This item ships from a separate warehouse and will arrive in a separate package. Birthstones available for January, February, March, April, May, June, July, August, September, October, November or December. Ring sizes available in 5, 6, 7, 8, 9 or 10.