Carambola similar to phenylalanine, and is a glutamatergic agonist. Like the grapefruit, carambola is considered to be a potent inhibitor of seven cytochrome P450 isoforms. These enzymes are significant in the first-pass elimination of many medications, and, thus, the consumption of carambola or its juice in combination with certain prescription medications can significantly increase their effective dosage within the body. The carambola is a tropical and subtropical fruit which can be grown at elevations up to . It prefers full sun exposure, but requires enough humidity and annual rainfall of at least . It does not have a soil type preference,
The World Is What It Is in 1996. The biography has been extensively reviewed: the reviewers include Paul Theroux, who wrote an earlier book about Naipaul. The biography was selected by the editors of the "New York Times Book Review" as one of the "Times"' "10 Best Books of 2008". It won the 2008 National Book Critics Circle Award in Biography, and the British literary award the Hawthornden Prize. The World Is What It Is The World Is What It Is: The Authorized Biography of V. S. Naipaul is a biography of the Nobel Prize-winning author V. S. Naipaul by Patrick French. It was published in