5 Element hand made horn necklace. Handmade in India using the finest 18k gold filled chain with real bone (sourced by shamans, and sealed) and cubic zirconia pave designed horn. Each piece is one of a kind and handmade by one person through hours of work. The 5 Element line contributes to fair trade using the highest level of craftsmanship on earth in designing these unique one of a kind pieces. Using the elements of gold, bone, and earth crystals each piece is custom and perfectly designed.