What does Til My Head Falls Off mean?

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They Might Be Giants: Til My Head Falls Off Meaning

Til My Head Falls Off Lyrics

There were 87 Advil in the bottle now there's 30 left
I ate 47 so what happened to the other 10?
Why do you suspiciously change the subject and break my concentration
As I dump the bottle out and I count the Advil up again?

Don't interrupt...

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