Coffee + vitamin C + methylated B's — none of them anxious-making alone, but together they can be
If you're already deep in MTHFR stuff, COMT is an enzyme worth knowing — it clears dopamine and adrenaline after they've fired.
The pattern that got me thinking about this: someone's on a totally normal-looking routine — methylated B multivitamin, their usual two coffees, a vitamin C packet — and over a few months they're more anxious, sleeping worse, and can't shake a bad mood after a stressful afternoon. Everyone wants to know which one to cut. Usually it's not one.
Coffee's catechols and high-dose vitamin C both compete with dopamine for the same spot on COMT. Methylated B's raise SAMe, which is COMT's fuel — more fuel sounds good, but if the enzyme's already slow, it just means more for it to handle. None of these is a big deal by itself. On someone with slow COMT (Met/Met on rs4680), all three at once is a different story than on someone with the fast version.
If you're Met/Met and this sounds familiar, the two things that actually moved the needle for the case I'm describing: cutting back the coffee and vitamin C to more normal amounts, and adding magnesium, which COMT needs structurally to work at all (not just "good for you" — it's part of the enzyme's active site).