My server side setup is default LAMP on a DigitalOcean VPS with no mods. I don’t have any performance/cache plugins on the site. I haven’t seen the issue since manually removing the transients with the plugin. Also, I noticed my transient issue in the exchange app, the order book wasn’t updating after removing orders [wallets_exchange_bids/asks]. Selecting the “Disable transients” option in the Frontend settings fixed it. After I installed the Transient Manager and deleted the transients, I was able to deselect “Disable transients”, and the system seems to be working fine. Hope this helps.