It is pure copper, but you would need to contact the company to see if it is totally nickel free!

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MagEnergy Copper Magnetic Bracelet for Women, 99.99% Pure Copper Cuff Bangle with 3500 Gauss Magnets, Adjustable Brazaletes with Jewelry Box

MagEnergy Copper Magnetic Bracelet for Women, 99.99% Pure Copper Cuff Bangle with 3500 Gauss Magnets, Adjustable Brazaletes with Jewelry Box

Q: has this helped Carpal tunnel?

I was skeptical about them and I purchased them for my wife her fingers were numb all the time in less than two days all her symptoms were gone they made me a believer.

Q: Bracelet is tarnished. Should I wear it as is or should I use copper paste to get rid of tarnish?

I wear mine 24-7 and have no problem with tarnishing. Only time I get green discoloration on my wrist is when I don't feel well. Hope this answer your question.