Shaking my fucking head: an expression of disappointment in someone's actions or words where smh is not enough. It shows a higher level of disappointment.
Userguy1: So... do you shower every day?
Usergirl25: smmfh...
Userguy1: ...
Userguy1: ...what was that for?
Usergirl25: What kind of question was that? Of *course* I shower every day! Don't you?
Userguy1: ...