Its a sign of the times where you just can't buy dress shirts with an "athletic cut" anymore. I'm not that huge - 32" waist, 6'+, 205 lbs, 18" neck, and about 16 1/2 bi's, but I have the same prob. With rare exceptions the men's clothing manufacturers just don't make shirts for anybody but guys shaped like bowling balls! I have had some luck with buying shirts that fit my neck, chest and arms and then taking them to a seamstress for alteration. Cheaper than total custom made. For you REALLY big guys, I have to admit that even that may not be an option. And its the same damn way with women - my "sig other" is 52 years old but looks like (and is built like) she's about 25 - 30. She is 5'8", wears a size 2 or 4 dress, and has a 23" waist - and also natural 36DD's! She has the "classic" American female figure, but she just can't buy clothes. (She trains of course, and does gh, but has never done any AS). Most American women are way the hell overweight with big butts. Anyway, sorry to get off on a rant here, but people like the guys (and gals) on this site are the rareity in American today -we have an absolute epidemic of fat and unhealthy people. And everybody else thinks we're the strange ones!
Getnbigger - "nonrant" comment - try buying the big shirts and take them to a seamstress - it is cheaper than total custom made.