Great question, maybe somebody will have an answer. If you're asking about amazingcharts.mdf and amazingcharts.ldf, they are 1,528 mb and 136 mb respectively. There are also some meds and codes .mdf files which are 161 mb and 13 mb respectively, and same .ldf files are negligible.
The last tech support encounter I was told that there was no solution but that the issue was known in certain configurations, the specifics of which I cannot recall.
I appreciate your interest in the issue, thanks.