Just to sum it up a little....
My end result
All stutter seems to be gone on my machine.
Keep in mind my machine is seriously tweaked up. I use all the settings on my web page. None if it solved this, but I'm sure it helped.
Disable Hardware-Accelerated GPU Scheduling setting I decided to leave as last resort. There are a lot of benefits when this can be left enabled. In the end it wasn't disabled.
I got the best results from the 2 settings below since we started this journey. The 10 minute stutter seems to be gone after 4 nights of flying.
* Disable Optimizations for Windowed Games to restore true fullscreen control
1) Locate the Game's Executable: Find the main executable file (.exe) of the game you want to modify.
2) Open Properties: Right-click on the executable file and select Properties.
3) Go to the Compatibility tab in the Properties window.
4) Disable Fullscreen Optimizations: Check the box labeled 'Disable fullscreen optimizations' and click Apply then save the changes.
Nvidia - Low Latency Mode: Off
"Off" is often better for CPU-heavy games or when your GPU has plenty of power, If I remember right, AH is CPU heavy.
I still had an occasional very quick glitch like stutter. Not often. So fast It's hard to call it a true stutter. When I put this setting in place I have not seen it reoccur, yet.
* Nvidia - Max Frame Rate: Set to match monitor refresh rate. Small timing mismatches accumulate and cause periodic frame queue stalls. It's always best to use native refresh rates. The human brain is really only able to identify images up to 75fps. Anything over your refresh rate just gets dump, you never see them. The GPU is running hotter to create what you never see.
Vertical Sync (V-sync): Fast. This has always been on my machine.
Fast reduces latency without causing tearing. Nvidia settings over-ride Aces High settings, "Use the 3D application setting" in AH default is on so this would mean you're turning it on, defeating the purpose. Off can introduce input lag, making games feel less responsive. This setting probably played a part in latency.
If anyone uses these and still sees stutter let us know. You may need more than these to complete the pipeline.