What is Medium double double?

The most common sugar and cream combination for coffee from Tim Hortons. Two creams and two sugars. Perfection in a paper cup.

Drive Through Person: Welcome to Tim Hortons, how can I help you?
Patron: Yea, can I get a Medium Double Double?
Drive Through Person: Yes, will that be all?
Patron: Yea.
Drive Through Person: Thank you, please drive through.

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Medium double double - video