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/Sounds like "GWAH" (as in "Guam") + "teh" (as in "ten")/

Meaning

In Ecuador, a close and trusted friend, someone who has been there through everything. Guate likely shares roots with the Mexican cuate (from Nahuatl coatl, meaning twin), both words pointing to a bond as tight as family.

Examples

My best friend and I have known each other since elementary school.

What is up with my buddy? It has been a while since we hung out.

An Argentine expression meaning someone has a loose screw, is a bit nuts, or does not reason clearly. It is more humorous than harsh: you are not calling someone dangerous, just saying they are not quite all there.