The fix for the Windows 10 1903 slow down and lag for me was to disable the Meltdown and Spectre patches I used InSpectre.exe and disabled the Spectre patch https://www.grc.com/inspectre.htm …The lag before this was so bad that it almost made the computer unusable even with an SSD. I have an AMD FX 9370 eight-core with 16 gigs of ram.
I am now at pre-Windows 10 1903 speeds and my computer acts as if it has an SSD again.
These tweaks also help:
Do this in CMD with admin priviledges:
vssadmin delete shadows /all
vssadmin resize shadowstorage /for=c: /on=c: /maxsize=unbounded
Good luck!