Thanks for sharing this, very helpful.
You mentioned that the number of used contexts dropped from 512 to 0 after stopping the Microsoft Exchange Health Manager service. How did you check that number? Is there a performance counter, a command, or a tool that shows the current number of saved contexts in the RPC Endpoint Mapper?
Background: We were hit by this issue on several Exchange SE servers after the October updates. We have now set EpmapSavedContextCap to 65536 on all servers, and they have been stable since. We would like to monitor the current value regularly, so we can see how fast it grows and whether we are getting close to the limit before the next planned reboot.