Simply following the laws of nature / physics, depending on which position you sleep in described above you will have different amounts of pressure or force put on both your shoulder and your hand on which you sleep.
The more pressure there is at uncomfortable angles for your body the quicker you will end up with a side sleeper shoulder pain and over time this pain or this experience will most likely turn into a chronic condition which will, like a small fire turning into a large disaster, start to negatively impact your health and development of sleep disorders and your quality of life.
Like any chain reaction this will also start affecting your relationships with friends and family and just get worse and worse from something so banal like a sleeping posture.
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