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.
English has also had an influence on Bangla. During the days of the Raj many words of English origin such as tebil (table), tiffin (archaic in modern day English meaning snack box) entered Bangla. In more recent time the ever rising global nature of English has lead to words such as television, telephone, video and radio being adopted by Bangla.