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Gemstones created in a laboratory can be practically identical to gems created by Mother Nature visually, physically and chemically, but they didn't come from a mine deep within the Earth's crust.  If a gem is created in a lab, that affects its value. (Some gems are manufactured for just a few dollars each.) Because consumers can be easily fooled, the Federal Trade Commission ruled that lab created stones must be identified as such.

If you want only natural gemstones, that were made by Mother Nature, ask for them and make certain that's what you get.