

Kingsize carries up to something like 8x, though not for every single thing they have.
Pretty much every bariatric patient I ever had ended up shopping with them. Hell, some of the guys that would steroid up buy from them. They tend to have designs that are made for men with atypical proportions. Just sizing up a pattern doesn’t take care of that for everyone, you have to adjust how things drape, where they stretch, where seams are, etc.
But, a patient of mine that had cortisol sensitivity was able to find stuff that fit him fairly well, and he had a similar build to what the image you provided shows. Almost all belly, with everything else being proportional.
But, even with king size, a 69 inch waist is going to be difficult to shop for stuff that’s also going to fit everything else well. Like, shirts as a perfect example, there has to be extra fabric across the shoulders and chest in order for the shirt to not ride up constantly. So your chest area is damn near guaranteed to be looser than is ideal visually. Even with stretchier fabrics, there’s a limit to how much difference you can factor in to mass produced clothing.
Since you’re under medical care, chances are that you’ll drop a good bit over the next two years or so, assuming that your body responds to treatment well. So, in general, I’d say focus your budgeting on work clothes, whatever that may mean for you. Pick up enough to get you through a week of work, find someone local that can alter them for a better fit, and then expand your wardrobe slowly after that, and have things taken in as the belly decreases.
That’s also assuming budget would be a concern. If you’ve got the resources to just throw a few thousand at the issue every six months or so, that’s a different issue. I only mention it because the patients I had that dealt with this issue (or similar ones) tended to be elderly or disabled, or very limited in the amount of time they could work. So they ended up very often spending most of their budget on “public” clothing, then just rotating through stuff like sweatpants and t-shirts at home.
Also, focus on natural fabrics. There’s long term “annoyances” that come with even this specific form of obesity. One of them is skin irritation where clothes bind, and it’s pretty much inevitable that some binding occurs. I’d say that with this specific example, it is inevitable. Natural fabrics tend to irritate less in that regard, and also help wick moisture away from places where skin touches skin. That wicking can be vital as we head into summer months. So, anywhere that your body touches your body, like the groin, underarms, and the bottom of the belly when you sit, cotton is the go-to with specialty fabrics the second best choice. There’s blended fabrics that wick better than cotton, but they also tend to chafe more, so they aren’t top pick.
It sucks, but nobody other than king size is likely to have decent button up shirts from what I’ve seen. And you’re still going to run into the fit not being perfect when you get the clothing, it’ll just be better than regular brands that aren’t designed right for big men at all. So, definitely start looking for a place that alters clothing. Expect to pay maybe twenty bucks at the absolute minimum per item. You might run into a tiny place that goes lower, but the last time I had to take anything to be altered at all, it was 20 bucks, and that was just hemming some jeans.
Custom tailored clothes are indeed an option. Maybe the only real option i hif you need a suit. Even Rochester big & tall wouldn’t have anything cut right without altering, and they used to have the best suits for unusual bodies (the roided out dudes shopped there for suits, so it isn’t just obesity). But Rochester, you’d need to have a local store anyway, even if they did have something cut right, just because their best options weren’t ready to wear, they needed fitting.
But, there’s some good news with the button up shirt requirement. Because your exact situation where body changes clash with that mandate happens a lot, you’ll be able to pick pretty much any color and style you like. Stuff like t-shirts and polos or henleys, you tend to have less options in that regard, even with king size.
Ngl, I’m kinda out of date with some of this. While I have sizing issues myself, they’re different, so I haven’t shopped for your body type in a decade. That being said, kingsize has a habit of carrying the same basic items essentially forever. The first patient I had that used them was back in the numerous nineties, and the last catalog I saw a couple of years ago had pretty much the exact same items available, so I doubt that part of things would be different now.
But, hey, even if it isn’t clothing, if you need advice about dealing with some of the other hassles of a body change like that, holla. There’s little things that I’ve picked up over the years, and don’t mind sharing.
The mods do their job. I don’t know for sure which ones are and are not active, but reports get handled same day in every case where I’ve reported, or been reported. I’d have to check the mod log to see if there’s been recent activity in that regard, but don’t have interest in doing so when anyone can.
On my pen name account, I moderate two communities, and it would sometimes be months before I’d do anything on the account that would show up because those communities were very slow, and I’m subscribed to them on this account. No need to switch to that account when there’s no mod action needed, unless I want to post/comment on it, which is fairly infrequent.
Lemmy is way more forgiving of relaxed moderation.