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Elementor Pro 3.23.3
Wordpress 6.6.1
DB is bloated – 1+GB. I completely re-installed my website 3 weeks ago – brought it back down to 200MB. Now just a few weeks later – 1GB.
I have Litespeed and Adv DB Cleaner and have removed all revs, transients, orphans, etc. But the DB size is not budging.
Anyone have any ideas what might be causing this?

Revisions, everytime you make a change WP will store a revision, elementor stores bloated revisions on top of that, you can turn revisions off in wp config
Do you have a lot of posts? Could be elementors bloated markup, try cloning site to block editor only and see if there is difference. Check if elementor or something else is not sitting logs in your db as well.