SSMS 18.5 hang with latest ApexSQL Complete

This has been awhile after upgrade to SSMS 18.  

"Microsoft SQL Server Management Studio is busy" seems a never fix issue.

Also already set according to 

https://ts.apexsql.com/auto-complete-hint-list-sql-server-management-studio-freezes-using-auto-complete/

Any idea what else can do?