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The phrase "fall off altogether" is correct and can be used in written English.
It means to completely diminish or disappear. Example: The company's profits continued to fall off altogether, leading to its eventual bankruptcy.
Exact(2)
We have gone from candor to shock to nudity: in this cinematic burlesque show, the baggy pants keep dropping, and occasionally fall off altogether.
HAROLD & KUMAR ESCAPE FROM GUANTANAMO BAY This cinematic burlesque show, in which the baggy pants keep dropping and occasionally fall off altogether, is perhaps the first bottomless comedy — much of the humor, and a fair amount of the nakedness, is concentrated below the belt.
Similar(58)
First, filmgoers abandoned existing theaters, and then attendance fell off altogether when the movie studios failed to produce any blockbusters.
Julian Assange (No. 68), the editor-in-chief of WikiLeaks, snuck onto the list in last place, while many traditional media types, including Mark Thompson, the director-general of the BBC, fell off altogether.
These hooks later fall off.
You fall off your feet.
And they fall off.
Many of its needles fall off.
If you fall off, you fall off," he told Degeneres.
Don't fall off!
You may fall off.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com