It comes from “Ligma balls”.
The word Ligma sounds like a disease, so you would say something like “it seems like he has Ligma” and bait someone into saying “Ligma?” or “What’s Ligma?” at which point you say “Ligma balls”
You can add “LMAO GOTTEM” at the end for extra punch
Ye what does “capitalism feminist movement culture” even mean lmao