You head hurts when you shake it because your brain hits against
you skull
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One could reply with a hesitant shrug or very slowly shake their
head.
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Acronym for 'shake my head' or 'shaking my head.' Usually used
when someone finds something so stupid, no words can do it justice.
Sometimes it's modified to 'smfh' or 'smmfh' by those that prefer
profanity in their internet acronyms.