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shakedown - extortion of money (as by blackmail) extortion - the felonious act of extorting money (as by threats of violence) jargon, lingo, patois, argot, vernacular, slang, cant - a characteristic language of a particular group (as among thieves); they don't speak our lingo.
Shake me down (mearning extortion, blackmail and a host of other things etc) is almost an instruction, he is telling the world that he does not care what happens to him anymore. He says not a lot of people left around meaning he has lost people to death, to drugs, or simply lost touch with friends and loved ones.