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The Tibetan Beads available at JewelrySupply.com are handcrafted in Tibetan Refugee Camps from the areas of Kathmandu and Pokhara in Nepal. All Tibetan Beads are handmade, incorporating traditional designs in metals such as 80% Silver, Brass, Lapis, Coral, Turquoise, Amber and Horn. Because they are handmade, sizes will vary slightly. Click Here for Tibetan Pendants