VS hangs while typing

Curious if you guys had any ideas
My machine at work is running VS

When I type in the code editor, it's often several seconds before the editor catches up to what I typed and several seconds again before I get suggestions or the intellisense browser.

I've watched memory and cpu usage and I'm seeing neither noticeable spikes nor is either utilization at 100%.

Where should I look to diagnose the lag?
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