Advil is a brand of ibuprofen, a low level drug to be abusing but it is not without its risks, this is where he started as a youngster and worked his way up to more dangerous and/or potent pills.

This implies that they both had suicidal thoughts before the relationship and were in fact saved in a way by falling in love with each other oppose to the idea of suicide.

This also is an allusion to Shakespeare’s Romeo and Juliet, who were able to consummate their love through suicide. Both scenarios present young people in lover, however his love is greater than that of Romeo and Juliet’s.

In addition, Isaiah ends the verse with repeating “at least we fell in love”, but this time, the lyric takes on a whole new meaning. “At least we feel in love” is now hinting at lost love. Kinda like, “that was a destructive, painful relationship, but hey, at least we fell in love.”

As the song has multiple Outkast references, this line is most likely a reference to Andre 3000’s bridge on “Ms. Jackson.”

Me and your daughter got a special thing goin' on
You say it’s puppy love, we say it’s full-grown
Hope that we feel this, feel this way forever

Referring to the classic 1994 OutKast album Southernplayalisticadillacmuzik. All Isaiah wants to do is fall in love with this girl to the sound of OutKast. Isaiah mentioned to FADER that he got into rap after getting the ATLiens album by OutKast.

Also noteworthy that this song is presumably named for the OutKast song “West Savannah”; originally recorded for Southernplayalisticadillacmuzik, which eventually ended up several years later on Aquemini.

Still referring to the woman in the first line of this verse, saying she has dementia could be simply calling her mad oppose to actually having the condition.

Dementia is the deterioration of abilities such as memory, concentration, and judgment, this is a result of an organic disease or a disorder of the brain. It can also be accompanied by emotional troubles and personality changes.

She sips on elixirs so she can forget, which is ironic seeing as memory loss is part of dementia, an elixir is said to be a medicinal potion known to cure all illnesses, this could be referring to lean or simply alcohol.

Walter White is a character in the TV series who starred in Breaking Bad a extremely popular show about a chemistry teacher who sells crystal meth, Walter White here is either used as slang for meth, or cocaine.

An Aryan is a term in Nazism for a non-Jewish white person who is supposed to be part of a master race commonly with blonde hair and blue eyes. Pre-Nazism it was also commonly used as a term for someone who spoke the Indo-European languages so basically he could simply be calling the girls European.

There’s usually a negative social stigma between interracial dating, a common stereotype being a Caucasian father’s detest for his daughter going out with a black male, often in fear of the common dangerous gangster image some are known for and not wanting their daughter to fall into that type of lifestyle. Thus, the quick thought, but immediate disregard for the women’s father’s opinion on Isaiah.

Isaiah is referring to the 2014 XXL Freshmen class he was a member of and claiming that he as far as his credibility and potential are concerned, he has surpassed the other 11 members.

Isaiah has expressed his thoughts on being a part of this XXL Freshman Class in a 2014 interview saying:

I don’t feel this type of thing should validate you. It’s how you feel about yourself. At one point I did.

Likely referring to the XXL Freshman Cover/List that has become quite lucrative and can create alot of buzz around the artists named.

But if you put Isaiah Rashad up on the cover he’ll just be posing with his lunch, he’s a predator who will destroy the competition.

Ironically, Isaiah ended up appearing on the 2014 issue of XXL’s Freshmen list