All duties and taxes are prepaid for U.S. customers. This fork is used for physical healing and can be used with the Genesis fork to work in tandem with cancer cells. It has a very high vibration. It also helps with stress reduction. Shekinah has been called the vessel of creation. Just As Metatron is called the Alpha the Shekinah is called the Omega that brings into manifestation the thought of God. Her power to heal runs more than just the world being healed but also humans and everything that lives. She is the expression of God's love and light. It is said that it is the Shekinah that makes it possible for healing to take place by bringing the spirit to the physical. We are able to offer this special fork with the guidance of a renowned sound healer. You can use the stem or wash over the area by pointing the prongs and focusing the frequency at a certain organ. All our Tuning Forks are made from special grade Aluminium alloy and frequency is guaranteed to tuned to an accuracy of +/- 0.25% which is very good for healing