a severe case of this will cause your lips enlarge 2x there normal size, you will start mixing around your letters and screwing up pronounciation, you will become very easily agitated and or raspy and want a smoke every couple of minutes or so
dude 1: less go for a ride in my lummer himmo, i mean himmer lummer, christ! whever
dude 2: WHAT?
dude 3: hes suffering from carlipsalytous