Indexing of Outlook Mailbox

An employee is experiencing repeat Indexing issues with Outlook. I've tried repair installation and reinstallation of Office 2010 H&B, rebuilding the profiling, disabling windows quick search/indexing via Windows Features and re-enabling, rebuilding the index, and i've had no luck fixing the problem. It just keeps coming back as 30,000 or so items waiting to be indexed when he searches for something.
AmoayedAsked:
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CoffinatedCommented:
You could try reinstalling windows search, or rebuild index
File>Options>Search>Indexing options button>Advanced Button> Rebuild Index

30,000 emails is not recommended by Microsoft (2nd bullet)
http://office.microsoft.com/en-us/outlook-help/best-practices-for-outlook-2010-HA102459562.aspx#_Toc283818121 
perhaps archiving some older emails would help, archive 21,000 emails see if the problem
is still present.

Another option is to use the OST integrity check tool
http://office.microsoft.com/en-us/outlook-help/use-the-ost-integrity-check-tool-HP001021063.aspx
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CoffinatedCommented:
What email protocol do you use? If it is Imap you may need to download the messages first.
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AmoayedAuthor Commented:
Our email host uses exchange, so I'm assuming MAPI.
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CoffinatedCommented:
Check if you're using cached mode or not, enable it if it is disabled.
Control Panel >> Mail (32-bit) >> E-mail Accounts… >> Change… >> Use Cached Exchange Mode

Another option could be deleting the OST file and re-creating it.
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AmoayedAuthor Commented:
Cache Exchange Mode is already enabled, and a new OST was created when I recreated the profile.

Any other suggestions?
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AmoayedAuthor Commented:
Bump with 200 point increase...
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AmoayedAuthor Commented:
Issue was circumvented by disabling Windows Search altogether.
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