The client is taking calcium carbonate supplements. These lower the absorption of alendronate. Abnormalities of the esophagus, which delay esophageal emptying (i.e. strictures, achalasia); inability to stand/sit upright for at least 30 minutes; renal insufficiency.
The official language of Bangladesh is Modern Standard Bengali (Literary Bengali). It serves as the lingua franca of the nation, with 98% of Bangladeshis fluent in Standard Bengali or Bengali dialects as their first language. Chittagonian: spoken in the city of Chittagong and in much of the southeast of the country, it is often considered to be a dialect of Bengali, but both languages are mutually unintelligible to each other. 2  Hajong: originally a Tibeto-Burman language that has shifted over time to an Indic language.
Languages in Paraguay. The majority of the population is bilingual, able to speak Spanish and Guarani as well as Jopara. Spanish is a European language while Guarani is a Native American language spoken primarily in Paraguay and also in some parts of Argentina, Brazil and Bolivia. Five million of the population mostly mestizos can speak and understand this indigenous language. As a diglossic nation, it has two official languages.