Thanks all, Indy,David and Donna for your suggestions. Sale of supplyments is not ethical by my standard. And take a side job might not solve my problem with limited involvement. I already stop seeing some of pts with too lowest paying insurance. Problem is not only low pay, it is also rising cost (at least in east MA). That's why I am thinking of fat reducing business. First, this will be separated from medical practice; and this does not need my time.