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 Name of the Doctor in other places in time and space. She enters the time stream to restore the Doctor's timeline. Echoes of Clara fall through space and time and appear in adventures of the Doctor's previous incarnations. The Doctor enters the column of light to save the original Clara, guiding her from a place where she sees several previous incarnations of the Doctor. Reunited, the two spot another figure in the shadows which Clara does not recognise. The Doctor explains the elderly figure is another past incarnation of himself, but what he did in the past was not in the Doctor's name. Imagery