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,
Common name not always English. For example, "Dikkop" is the centuries-old South African vernacular name for their two local species: "Burhinus capensis" is the Cape dikkop (or "gewone dikkop", not to mention the presumably much older Zulu name "umBangaqhwa"); "Burhinus vermiculatus" is the "water dikkop". The thick joints in question are not even, in fact, the birds’ knees, but the intertarsal joints—in lay terms the ankles. Furthermore, not all species in the genus have “thick knees”, so the thickness of the "knees" of some species is not of clearly descriptive significance. The family Burhinidae has members that have various common names even