Michael, are you also starting narrator automatically?
Ask since, by default, it will launch the narrator home interface whenever it starts, which might come across as accessibility-specific settings?
And, yes, some of us - me, specifically - allow narrator to auto-start, just in case, but under narrator's own settings, which you can also activate using ctrl+windows+N if narrator is running, and then tab over to home settings category, and make sure it's expanded, and then tab over to "show narrator home when narrator starts" checkbox, and I turn that one off, so narrator will just run in the background after I toggle it on/off using ctrl+windows+enter.
But, this might not be the exact cause - others might have other ideas.
Stay well
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What was saying is that, if you have started narrator, chances are that's what's then causing the accessibility settings to come up.
In terms of NVDA, best bet is to bring up NVDA general settings, and toggle automatic startup checkboxes on and off, restarting it inbetween, to make sure settings are saved exactly as you want them to.
Stay well
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