I also started using coupons again last April, like the PP, and also got all the free pasta (20 boxes!). I gave some away, as I couldn't believe you can get things for free!
I now guess you could consider me "extreme" although that sounds weird to me.
I have a friend who lives in an apartment building, who gets a free weekly small paper that has coupons frequently. She gets the leftovers that others don't want, so sometimes gives me 20 - 50 inserts at a time. In return, I get her things I know she likes and needs when there are good deals paired with the coupons.
I have used clipping services, but find you can spend quite a bit on them if you're not careful!
Printables are great! You are allowed two per computer usually, so I use my computer plus four old laptops, so when there is a good coupon I can hook them up to my printer and get 8 of each. I use the four main sites for them, plus facebook often has a lot of good ones you can't get anyplace else.
If you have the time and the ambition, you can save a bundle. I save about $1,000 a month now, spend less than $30 a week usually at the store, and give away a lot too. I have friends going through some hard times, plus a cleaning lady who lives with her sister, so they have lots of kids to feed.
But, I am lucky to live in Maryland. All my stores double up to 99 cents. I just get the coupons, keep them organized, then when my favorite store's weekly ad comes out I see what is on sale that week that I can pair with coupons I have.
I have bought multiple papers many many times also. Sometimes it's worth the $2 when that week has coupons that can save you a whole lot more than that. Since my friend gets me coupons, and I have quite a stockpile now of basics (cleaners, toiletries, canned broth and pasta sauce, etc....) I don't feel the need to buy more than my one paper that I get delivered usually.
I do have a good friend who was on the show, and yes they do some editing, spending two full days to film one shopping trip. And the stores do bend their rules for the show - allowing more coupons than normal (they used to do this much more than they do now). But, she did acquire all of her coupons herself, from friends and buying papers (no she has never used a clipping service).
Also, yes there are frequently tearpads in the store. I take some and leave some - and they appear all the time. They get replenished a lot too, so if there aren't any one day, they may have more a couple days later. Some are good if you take a couple and then wait for a sale!