With MTHFR and slow COMT, you may produce neurotransmitters inefficiently (MTHFR), but also break them down slowly (COMT). This can lead to fluctuating dopamine levels, periods of overstimulation or underperformance, and increased sensitivity to small biochemical changes.

Two human figures made of glowing wires and neor representing Norepinephrine and methylation. Norepinephrine is both a neurotransmitter in the brain and a hormone in the body, and more importantly, symptoms of low or high norepinephrine could tell us something about methylation patterns.