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Pink jewelry can be made from real stones such as pink sapphire, rose quartz, pink agates, rubies, or synthesized stones, and pink plastic crystals. Synthesized stones could be synthetic lab created sapphire or pink cubic zirconia / american diamond. There are also pink shade real fresh water pearls, with same quality, texture and shine as marine pearls. We at semiprecious.com have pink jewelry in roe quartz, pearls, and pink cubic zirconia (a sapphire look alike)