It's not a performance monitor counter. The October update added two new global variables to RpcEpMap.dll - saved-context cap and saved-context count. Our custom monitor finds RpcEpMap.dll in svchost and reads both values with ReadProcessMemory. Once it hits 400 (the limit is 512 by default), we bounce the MSExchangeHM service which clears the accumulated RPC lookups. All of this is dependent on the OS version and we've built them for 2016, 2019 and 2025. We're an MSP managing many Exchange servers for our clients. This has worked for every one of them. No need to uninstall the October updates nor changing the registry. I'm sure Microsoft will at some point address the Health Manager service.