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An acronym for bad trip. When you smash your [little toe] into an open dishwasher or table leg. You are definitely going to bad trip. Bad trips usually last about 43 years or less depending on the incident leading to the BT. Either that, or you're [totally fucked up] on some crazy ass drugs, and you overdose and vomit your [intestines] out or cough your lungs up.
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