Booted up my pc, made the change in the nvidia control panel, started dcs.. checked the f10 map for the status of the server, jumped in an apache, waited for the textures etc to load, and it dropped down to 5fps..
DxDiag.txt
edit:
After a second "session" (restarting the game) I was able to fly with fairly stably, but after 15~20 minutes or so, frames started jittering between 15 and 25fps. When in external (F2) views, frames go back to normal, but in cockpit view (F1) it instantly drops back down to 15~25.
When looking at the stats in external view, the vram usage is around 5gb/6gb (less than max) and when in cockpit, it's always 7gb/6gb (more than max) when fps is unstable