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D. D. T. W. means you're so fat you can't move and you need a wheelchair or oxygen just to breathe.
My cousin got D. D. T. W. after eating 12 pizzas in one day.
My neighbor can't walk because of D. D. T. W. and now he wheezes like a broken trombone.
I got D. D. T. W. because I ate a whole cake and a bag of chips for breakfast.