I have always had a problem finding shirts slim enough for my body. Every dress shirt had to be tailored in the torso area. I recently tried 5th & lamar shirts since they set out to specifically address the large midsection problem. So far they appear to fit better than most shirts but with my body type I still feel like it can be improved. My jacket/chest size is 38/40 and waist/pants is 29/30 depending on the store. I find that most "mediums" fit me well in the shoulders but the stomach is way too large. most "smalls" fit better in the stomach but then my shoulders are very cramped, almost to the point where I might tear the seams in certain positions. I would say I have fairly large shoulder muscles and lats because that's where I feel the most discomfort. Is my best option to go custom? I feel like I can get by but I was wondering if there were any brands that catered to this type of shape before I consider going bespoke.