Gunnar_Zarncke comments on Post ridiculous munchkin ideas! - Less Wrong
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Coffeine doesn't work for ~10% of the population (like me).
ADDED:
I don't know exactly what's different and to what extent the effect exists but caffein doesn't have significant waking or alerting effects on me. At least not a 200mg pill (corresp. 2 liter coke or 2-5 cups of coffee). These I take to treat migraine where the caffeine does have a very notable effect on me.
And the opposite:
From Health: Does Coffee Make You Sleepy? Researchers now understand how caffeine works on the nervous system. For some, it may cause the opposite of its intended effect. By Roger Downey
See also http://flipper.diff.org/app/items/5455 for migraine and caffeine.
What do you mean with "doesn't work". Your A1 receptors are formed in a way where caffeine doesn't connect to them?
Answered above