Out-and-out, as you say (5)
I believe the answer is:
utter
This might be a double definition.
'out-and-out' is the first definition.
(synonyms)
'you say' is the second definition.
'utter' can be an answer for 'say' (to utter something is to speak or say it). I'm not sure about the 'you' bit.
'as' is the link.
Can you help me to learn more?
(Other definitions for utter that I've seen before include "Say; total" , "Speak in absolute way" , "Articulate, express" , "Declare - total" , "Make (a sound); complete" .)