I have tried deleting the prefernce files outlined in other topics, which did nothing to alleviate the issue at all. It appears to be very poorly optimized compared to other professional software titles which all run smoothly on macOS: Word, Excel, Pages, Numbers, etc.
This happens no matter what the size of the PDF is from less than 1 MB to 10+ MB.
For the last two years I have had consistent problems with Acrobat Pro DC being extremely slow/stuttery while scrolling, highlighting, commenting on a document.