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"Pookie" is primarily used as a term of endearment, expressing affection towards someone you care about deeply. It's similar to nicknames like "honey," "babe," or "sweetheart," and can be used for a romantic partner, close friend, child, or even a pet. While its usage has seen a surge in popularity due to social media trends, its roots as a loving nickname go back much further. However, it is important to note that like many slang terms, it has also been used in other contexts, including as slang for a drug pipe.