This is the second of eight stories in our Web feature on self-experimenters.

Morgan Spurlock's "really great bad idea," as it would later be called, came to him after a gluttonous Thanksgiving meal. Jeans unbuttoned, stomach engorged with turkey—and eyeing a second helping—the 32-year-old playwright noticed on the television news that two teenage girls from New York City were suing McDonald's for allegedly making them fat.

"It was the dumbest thing I'd ever heard of," Spurlock recalls thinking. Until, that is, a McDonald's spokeswoman appeared on screen to deny any link between the chain's food and the girls' obesity, claiming that Big Macs, Chicken McNuggets and the rest of the gang were nutritious. "That was even crazier than the lawsuit," says Spurlock, now 37. "If it's so nutritious, I should be able to eat it every day."

Against the better judgment of three doctors and the pleading of Alexandra Jamieson, his vegan chef girlfriend (now his wife), he enlisted himself as experimental subject, eating only McDonald's fare, three meals a day, for 30 days. Super Size Me, the chronicle of his February 2003 "McOrgy," became the eighth-highest grossing documentary in movie history, and is widely regarded as encouraging the end of the fast food "super size" era.

Spurlock, who consumed about 5,500 calories per day (the recommended dietary allowance, or RDA, for adult men is 2,900 calories per day) to satisfy what could be viewed as his reckless curiosity, gained nearly 25 pounds (11 kilograms) in the process. (An increase in consumption of 3,500 calories will lead to an increase of one pound, or 0.45 kilograms.) His overall cholesterol levels shot up 70 points, from 159 to 229, by the third week, and he developed heart palpitations. His sex drive flat-lined, too. "I was a prick to be around," he says.

But what most alarmed his physicians was the damage to his liver, which became so engorged with fat that it could have been marketed as pâté. "I expected his triglycerides would increase temporarily, his blood pressure would go up, he'd feel miserable," said Dr. Daryl Isaacs, Spurlock's general practitioner. "I never expected an acutely fatty liver. By the third week he had the liver of a binge alcoholic." All three physicians ordered Spurlock to stop, but he nervously stuck it out.

The striking documentation of his health problems put fast food purveyors on high alert. "Food portions in America have increased in parallel with rates of obesity," Lisa Young, adjunct professor of nutrition at New York University, wrote in a recent study published in the Journal of Public Health Policy. Obesity in adults skyrocketed in the U.S. from 15 percent in 1980 to nearly 33 percent in 2004, according to the U.S. Centers for Disease Control, putting Americans at greater risk of heart disease, diabetes and cancer. Young says that the average daily U.S. food intake per person has increased up to 300 calories since the 1980s.

Within weeks of the movie's May 2004 debut at the Sundance Film Festival, McDonald's pulled Super Sizes from its menu, saying the move was designed to simplify diners' choices. "The only thing that got McDonald's to reduce its portions," Young tells Scientific American, "was the publicity of the movie."

Beyond its effect on commercial food portions, Spurlock's self-experiment brought attention to unusual obesity-related illnesses. Lisa Ganjhu, Spurlock's gastroenterologist, says the film increased public awareness of nonalcoholic steatohepatitis (NASH), a severe liver inflammation that is not due to alcohol but rather brought on by rapid weight gain; it is associated with insulin resistance and metabolic syndrome. Fredrik Nystrom, a professor of endocrinology and metabolism at Linköping University Hospital in Sweden, replicated Spurlock's experiment with 18 subjects, nearly all of whom experienced the same rapid liver damage, but recovered after they ended the fatty diet.

"I don't know about my contribution to science," says Spurlock—who admits that he has a lingering fondness for Big Macs—on a break from shooting his reality television series 30 Days (on FX, and now in its third season). "It's not like I had the courage to drink from a petri dish," he says. "Knowing how dangerous it was, I might not do it again. But because of the impact—that parents and teachers around the world are now caring about the contents of this food—of course I'd do it again."

4 Comments

1. 1. Go Yoshida 06:59 PM 3/11/08

   NASH, non-alcoholic hepatic stenosis, would lead to cirrhosis.
   It is a surprising fact that waht most alarmed his physicians was the damage to his liver.
   This is consistent with the scientifically-evidenced fact that NASH is deeply related to insulin-resistance and obesity.
   Anyway, it makes no sense to suit McDonald for the responsibility to damage their health. After all, what you eat everyday can only be determined by yourself.
   In Japan, the specialized screening for health will nearly be introduced to prevent metabolic syndrome.
   However, the introduction of this system is opposed by many people, even by physicians who study metabolic syndrome.
   That is probably because only after people recognize the lesson "Prevention is better than any therapy," decrease of incidence can be accomplished.

   Reply | Report Abuse | Link to this

2. 2. Christie Nicholson 08:06 PM 3/11/08

   We agree Go Yoshida, that it was surprising that the physicians were surprised by damage to Spurlock's liver - but they felt that a change in ALT levels (a measure of liver toxicity) going from a baseline of 17 to 457 by the 19th day was remarkable (more on ALT levels: http://home3.inet.tele.dk/omni/alttest.htm) ...they said it was the speed and severity of the damage that was unexpected.
   
   Tell us more about the specialized screening for health in Japan...
   
   Thanks for commenting!

   Reply | Report Abuse | Link to this

3. 3. justlikeyou1960 11:40 PM 3/11/08

   This experience undoubtedly points out the dangers of both overeating and the eating of unhealthy food. Though I wouldn't ask anyone to try such an expeiment it would be nice to have data concerning calorie output as well. How much did a sedentary lifestyle contribute to the weight gain or liver disease? One of the reasons I excersize is so that I can eat more of the things those who only diet can't.

   Reply | Report Abuse | Link to this

4. 4. Sailbum 08:07 AM 3/12/08

   This whole 30 'experiment' is a joke. There are healthy items on the menus in virtually every fast food restaurant. Eating Big Macs three meals a day will make you gain the weight indicated in this article but I doubt that the results would have been so alarming if he ate grilled chicken sandwiches and skipped the fries. In any case, fast food is not intended to be an every day diet. This was a stunt for publicity where he intentionally picked the worst things on the menu to eat every day!! If you go out to eat at any restaurant for all your meals and pick the worst thing in the menu I would expect that you would see very similar results

   Reply | Report Abuse | Link to this