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Supersize Me felt to me like two movies interwoven together. First off, and most compellingly, this is a documentary about the fast food industry and its role in the obesity epidemic in this country. Although it's an angle most of us have probably already been exposed to, the movie does a good job illustrating the insidious way that the fast food industry pedals its products to the masses and infiltrates all aspects of our American culture. In particular, Morgan Spurlock does an impressive job illustrating the pervasiveness of marketing towards children. We see what today's parents are up against if we try to teach our kids healthy habits. Throughout the movie, we see repeated references to the famous lawsuit in which McDonalds was sued for making people obese. I imagine most people probably have a similar experience to mine, in which I started out thinking such a lawsuit was laughably preposterous, but by the end of the movie I could actually see the logic in it. I wasn't exactly what point he was trying to make with the graphic footage of the gastric bypass surgeries. If it was suppose to gross viewers out, the reality is that any surgery could do that if shown in that detail. I hope it didn't have the effect of discouraging anyone from pursing a gastric bypass, which happens to be a wonderful operation that has helped many people turn their lives around.

The second thread of the movie is the human experiment, in which our protagonist goes 30 days eating only McDonalds food. For me, this part felt like bad reality TV to me. Although posed a scientific experiment, it is clear our narrator knows from the start what direction it will go. For one thing, we see his vegan girlfriend reprove his plans. From even the first couple of days, we get endless shots of him looking at the food and telling us how gross it looks, or telling us how sick he feels. The shock this study, if you can call a sample size of one person with an agenda a study, is that he actually gets even more physically ill than anyone anticipated. Well, he gains weight and has an elevation of his liver enzymes. His doctors appropriately try to coach their patient into reverting back to a healthier diet, putting as grim a spin on it as possible. Elevated liver enzymes however are the normal response of a healthy liver to an acute insult. It's going abruptly from a low fat diet to a massively high-fat diet that causes it. If he wanted to make the case that this was a dire lethal reaction to fast food, we could have checked the liver enzymes of any of the characters we meet in the movie who habitually eat fast food. He would have found them to be mostly normal, since the bump in liver enzymes is a function of the acute change, not the fast food in and of itself. His doctors make the analogy to alcoholics, who get elevated liver enzymes from the insult of alcohol to their livers. But, in fact, it is when an alcoholic binges and doesn't get a corresponding rise in liver enzymes that there is evidence of end-stage liver disease (Morgan's internists hopefully understand this but are either doing their job by trying to scare him, possibly hamming it up for the cameras, and/or the interactions are edited for maximum melodrama and don't reflect the content of the actual visits.) We even see that Morgan's liver enzymes are returning to normal by the last set of blood tests, even though he is still on the diet at that point, but little is made of that in the movie, because it doesn't support the premise that eating all fast food for a month can kill you. His chest pain, which looked like an anxiety attack, and his other physical symptoms such as headaches are hard to interpret, especially in someone with an agenda to get as sick as possible. Then we get to see footage of Morgan on the phone with his mother, her only half joking that she would donate part of her liver if he needs it, and footage of Morgan on the phone with his girlfriend practically mourning his heroic and fated death. Too much. The informational content is important enough without watering it down with the intellectual equivalent of fast food.

My personal Amazon-confession: I love McDonald's, but I do feel gross afterwards. One of my professors in Med school was fond of saying "there's no good or bad foods, just good or bad diets." The McGridle really puts that sentiment to the test, but I would still agree with it. I always hoped he would slip one day and say "there's no good or bad food, just good or bad people," but it never happened.

Overall, a good movie, I'm glad I saw it. The extras don't add much in particular but still a good DVD. For me, personally, I could have watched much more of the documentary footage and skipped the "reality" melodramatics of the 30 day experiment. However, that experiment was probably the gimmick that got the movie financed, publicized, and accessible to a mass audience, so maybe it was necessary from a practical point of view.