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,
What Wondrous Love Is This of his "American Hymnsong Suite" (2003) for concert band. In 1966, the United Methodist "Book of Hymns" became the first standard hymnal to incorporate "What Wondrous Love Is This". "What Wondrous Love Is This" is now a widely known hymn and is included in many major hymnals, including the "Baptist Hymnal", "Book of Praise" (Presbyterian), "Chalice Hymnal" (Christian Church (Disciples of Christ)), "Common Praise" (Anglican), "The Hymnal 1982" (Episcopalian), "Lutheran Book of Worship", "New Century Hymnal" (United Church of Christ), "Presbyterian Hymnal", "Voices United" (United Church of Canada), "The Worshipping Church" (interdenominational), "Worship" (Roman Catholic), and "Singing the Living Tradition"