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Do girls like birthstones as gifts?

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So ladies, do you like birthstones as gifts? Birthstones look really nice and im thinkin of gettin my girlfriend a birthstone as a present.. but the problem I cant seem to figure out is..

why is it so cheap? 18k Yellow Gold Overlay Sterling Silver Emerald $20? isn't it supposed to be more? I dont know too much about jewelry. Please help