Petit Silma Large 7mm Type Includes 10 pellets and 100 replacement plasters. Germanium is a rare metal, and its price has increased significantly due to recent circumstances. Leda Co., the manufacturer, has also switched the material from germanium to a new semiconductor material. Germanium is available only while supplies last. Once the stock runs out, it will be switched to the new material (price will increase). The price of the remaining stock has been reduced. (Discounts are not available except for multiple purchases) Items will be shipped without the box. Only the product will be shipped. The Petit Silma pellets are the same as the current product. The effects of germanium are permanent, making it a great value. (No discounts) There is some aging on the seals. Please understand. General medical device Shipping will be via Japan Post's regular mail. (No compensation for undelivered items; will be delivered to the mailbox) We can accommodate insured home delivery and tracked mail services for an additional shipping fee. If you wish to use these services, please comment before purchasing. We cannot accommodate requests after purchase.