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.
Most people in India are acquainted with English, as it is one of the official languages used for administrative purposes. Hindi is the official language of India and also the widely spoken language. English is widely spoken and written in almost all parts of India. It is the language of Assam. It is the official language of West Bengal. It is the official language of Gujarat. It is a language of Karnataka, a southern state of India. This language is spoken in the northern most state of Jammu and Kashmir. This language is spoken in God's own country, Kerala.