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"Y tho" is a term used regularly nowadays. Stemming off of the phrase "why, though" it has been recently used to show [confusion] in a trolling type of manner. If, say, someone does/says something [unintelligent], it is [appropriate] to reply with "y tho". For people not to confuse "y tho" with "why, though", squint your eyes while protruding your neck and calmly, in a small voice say "y tho?". (Also there is a meme associating with this phrase.)
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