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.
People speak Spanish or other languages because they study and do not give up. Spanish words for hello are a great place to start with basic Spanish vocabulary. Once you the word for hello, everything is open after that. Hello is hola in the Spanish language from Madrid to Mexico. I have traveled to a few Spanish speaking lands, Argentina, Uruguay, Pueto Rico, etc, and people are generally friendly. Basically, with the little Spanish I know I am not fooling anyone.