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.
Arabic is the most widely spoken language in Afica. Swahili is most widely spoken African language. Swahili is spoken in these countries: Tanzania 99%, Kenya 87%, Uganda 85%, Burundi 55%, Democratic Republic of the Congo 48%, Rwanda 28%, Swahili is also spoken in southern Somalia, Ethiopia and Sudan and northern Mozambique and the Comoros Islands.