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.
According to the 2011 census, English is spoken as a home language by almost 5- million people (or 8.2% of the population). South Africa's Asian people, most of whom are Indian in origin, are largely English-speaking, although many also retain their languages of origin.isSwati is one of South Africa's minority languages, spoken by only 2.5% of South Africans, or just under 1.3-million people. It is the language of the Swazi nation, spoken mainly in eastern Mpumalanga, an area that borders the Kingdom of Swaziland.