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Interesting question. As a jeweler I've seen a lot of people develop sudden allergies to jewelry they've worn for years without problems. Often it means the piece needs a really good cleaning, as some funk ha built up in the links of the chain or under the insides of a ring. But changes in body chemistry can do it, too. Do you notice that your sweat smells any different since you've been taking lithium?

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I had just given it a cleaning with blue cleaner, the kind you put on and rinse. They were shiny clean. My s/o says my BO has been "tangy-er." Now they look black and pitted. It's a holy medal so it looks positively demonic.

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It's odd that the stainless steel would react. Stainless is used in things like medical alert bracelets, things people need to wear all the time, specifically because it's non-reactive. Also used in body-piercing jewelry. The silver is less surprising. Silver loves to oxidize and pit.

Unfortunately there really isn't anything I can tell you that will prevent this from happening if your chemistry really has done something weird. You could try to find a local jeweler who'd be willing to rhodium plate your stuff and see if that helps, but it's expensive and a lot of jewelers won't touch a project like that. You could probably find one to make the medal into a keychain fob, and if you want to wear a necklace, I'd try titanium.

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Kind of related, but no explanation for the tarnish, I developed a *bad* allergy to nickle about 10 years ago. It is so bad that when I had surgery on my foot, and they used screws with nickel in them, I had to have a second surgery once my foot was healed to take them out. My whole foot was an inflamed, itchy mess.

Sometimes, stainless steel had nickel in it.

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I wear a stainless steel ring and silver necklaces/earrings pretty much every day and I've been on lithium for quite some time. They seem normal and I don't even shine them. I don't think lithium would be the issue.

I would make a note that one time I tried shining a silver plated ring with a strong cleaner and it just stripped the silver right off and destroyed the whole ring. I think this might have been because the ring was really cheap.

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