My own 2 cents...The vest is BY FAR the best clearance device that we have, and then some. That doesn't mean that there aren't decent clearance devices, about the only one I havent tried (and it's coming to me soon via fedex) is the acapella. From what I know about the acapella is it helps the most to move the stuff, but not to break it loose. The flutter is MEH...Not all that great, and probably way below anything that could seriously help out. To me, it comes down to one real hardcore vest treatment a day, and then "Anything that helps" afterwards. To me, there is absolutely nothing more powerful, purposeful, and efficient than the vest. Yes it does suck bad. There are several nights where lazy wins out over the vest. But compared to everything else, the vest wins by far in every category.
As far as advice? I don't know what to say. It sucks to need clearance nightly and deal with being an adult and wanting to be irresponsible. The best advice I can give is to stick with the vest, and not like it...Channel your hate against CF in a positive way, and use your vest. To me even hardcore exercise can't hold a candle to the vest...It's just such an amazing invention for us!