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Smoke at both ends 

Coby: Josh you smoke at both ends.

Josh: What the fuck does that mean?

burning the candle at both ends 

An English idiom meaning to work long hours without rest. Working late into the night and beginning again early in the morning.
Joe: You're eyes are black sockets, you need some sleep man!

Snowflake: I've been burning the candle at both ends trying to finish this 509 paper.

Puking out both ends

Shitting and puking at the same time.
Whoa man I just went to go take a runny shit, and my stomach got all queasy. Then all of a sudden I was puking out both ends!
Puking out both ends by Quentin_B November 6, 2006

both ends of the bread 

idiom-
1. to be screwed over
2. to be dumped while the dumper is taking a dump
3. metaphorical double penetration in the same hole
4. when life gives you lemons you make lemonade. When life gives you both ends of the bread you do not make a sandwhich
1. " i am jewish so we don't celebrate Christmas"
" wow you got "both of the ends of the bread" on that one
2" my mom and dad both burned in a house fire and on top of that they never paid me for washing the car"
"wow that's both ends of the bread for ya"

Coughing out of Both Ends 

When you accidentally cough and fart at the same time.
I was coughing a lot last week, and I accidentally farted at one point. My mother was in the room, so I told her I was "coughing out of both ends" to hide the shame.

blasting out of both ends 

A slang term used to describe projectile vomiting and explosive diarrhea at the same time.
Side effects may include: Blasting out of both ends.