This necklace is handmade from a yak bone amulet on a cotton cord. This cord is adjustable and this necklace can be adjusted to the length you desire. To wear this necklace, you can extend the necklace by pulling the knots on either side of the pendant- this will allow the necklace to get very large so you can put it on, and then you can slide the knots back down to the length you desire. This necklace was handmade in Nepal- the om mani padme hum mantra is carved on this necklace and the writing is white. This mantra is associated with Chenrezig.