Hi @Eckels, Adam,
Welcome to Microsoft Q&A!
Are you using the latest version of VS2019? If no, please open the Visual Studio Installer and update it to the latest version.
If you have some third-party extensions installed, please temporarily disable or uninstall them under Extensions > Manage Extensions > Installed.
Besides, the VS2022 and VS2019 can be installed side-by-side, you can consider upgrading to VS2022. It is recommended that you backup your projects in advance.
You can also see the document to improve Visual Studio performance.
Sincerely,
Anna
If the answer is the right solution, please click "Accept Answer" and kindly upvote it. If you have extra questions about this answer, please click "Comment". Note: Please follow the steps in our documentation to enable e-mail notifications if you want to receive the related email notification for this thread.