Questions for high-producing MTs working on Enterprise5 - tiredMT

My questions pertain only to ISR jobs as 90% of the work I get is ISR, and more specifically the questions are for those using the Enterprise 5 platform (but MTs on other platforms can chime in here too). I am struggling to make the minimum LPH, and I understand there are MTs who are able to produce way beyond the minimum requirement. I've concluded ISR is my main productivity problem and I'm looking for help and a little insight into specifics of what MTs are doing to achieve 186 and above LPH. So without further ado, here are my questions.

1. How fast do you up the speed on an ISR job? A little, a lot, all the way to the max?

2. Do you rely heavily on auto keys/shorthand on ISR jobs? If so, what type of SH functions do you use for ISR jobs?

3. Do you use a lot of normals for ISR jobs?

4. When possible, do you delete blocks of text or all text in an ISR job and replace the text with a normal?

5. Do you use the silent suppression feature?

6. Do you use the highlighter or keep it turned off?

7. Do you pre-edit or read the entire report before listening to the dictation?

8. Do you read every single word in the report or skim through while listening?

9. Do you bounce between accounts all day long and if so, does this affect your LPH negatively?

10. How many accounts do you work on each day and level of difficulty?

I would really appreciate any input that you might have, especially those MTs using Enterprise 5.

Thanks in advance :)