After immediate ingestation, and following shortly, digestion, the Gender Tablet creates a chemical imbalance among the consumer's chromosomes, which help to determine gender. This imbalance is apparently harmless to the user, as the effects rarely cause any physical sign of distress or discomfort. Upon destabilizing the chromosomes, the user can seemingly and effortlessly switch between genders at will; making men become women and women become men, as well as reversing the process on its own in an endless cycle.