Realistic Non-Extreme Couponing

I am a long time coupon user (or couponer if you want to use the industry jargon).  I used them back when I was single and had a very limited budget; I used them after I got married when it was just the two of us; I used them when I quit my job to be a stay at home mom.  That's almost 30 years worth of couponing (again industry jargon) experience.  For a number of reasons, a few years ago, I stopped using coupons for a period of time:  I was too busy; I had a couple of surgeries; I switched to more organic and natural products.  Those were a few of the reasons.