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Lifestyle factors like sun exposure, diet, and sleep quality can influence effectiveness

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Compared to placebo, men who took the multiple vitamin-mineral supplement for 33 days had significantly improved ratings on one (vigor-activity score) of the six components of the Profile of Mood States (POMS) scale, significantly reduced subjective stress as measured by the Perceived Stress Scale, and significantly improved self-ratings of mental tiredness prior to and following a battery of cognitively demanding tasks (134)