All three of these are spot on and honestly that combo - baud rate + PMTK220 + stripping unnecessary sentences + RX buffer - is basically the full checklist, so if you work through all of them in order you should get there. One thing I'd add from my own experience is that the 18Hz mode also seems a bit picky about antenna quality/sky view, so if you're still seeing occasional dropouts after fixing the config side, worth ruling out that your fix quality is dipping and the module is compensating by slowing the rate.