The song is about addiction, probably to cocaine or another upper, "But whatever I have gettin' myself into
maybe has been slicing inches from my waist," he's been doing these drugs that make him not hungry and he's losing weight, and it almost seems like he WANTS someone to notice but they don't. "It's a shame, I don't think that they'll notice. It's a shame, I doubt they even care."
This is what living like this does, that's him looking at himself and seeing what the drugs he's been doing are doing to his body and relationships and saying to himself, "I'm doing this to myself, this is what living the life I'm living does to you."
The song is about addiction, probably to cocaine or another upper, "But whatever I have gettin' myself into maybe has been slicing inches from my waist," he's been doing these drugs that make him not hungry and he's losing weight, and it almost seems like he WANTS someone to notice but they don't. "It's a shame, I don't think that they'll notice. It's a shame, I doubt they even care."
This is what living like this does, that's him looking at himself and seeing what the drugs he's been doing are doing to his body and relationships and saying to himself, "I'm doing this to myself, this is what living the life I'm living does to you."