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The S-isomer is likely inactive but may compete with the R-isomer for absorption [1][2]

Generally considered healthy, this form reflects a slower bowel movement but without the hardness associated with constipation

According to the drug label, Mounjaro is most likely to reduce birth control efficacy after the first dose, with this potential side effect diminishing over time

Alcohol is also believed to alter the hormonal balance and possibly damage sperm motility

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