We use coupons some, and stock up when there's a good deal. My husband is gaining an encyclopedic knowledge (all kept in his head) of which product is cheapest where (of the four places readily available to us as non-car-owners).
We stopped buying as many little extra treats and stick to the menu/shopping list much more strictly.
We moved to juices from concentrate rather than bottled (this has saved a TON of money).
We no longer buy wine or liquor with our grocery budget; if someone wants it they have to use their spending cash for it.
We frequent the farmer's market in summer and intend to buy more this year and freeze what we don't use immediately.
I'd cut back somewhere else before I cut back on eating fresh, local and/or healthy food. My family has made some drastic changes in lifestyle, but one comfort is the enjoyment of great quality food. Americans have the option of much cheaper food than the rest of the world but a lot of it is cheap in nutritional value as well, and we'll pay elsewhere down the line if we don't splurge a little on fresh fruit and veg in the grocery store.
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