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The answer to this isn't as easy as you might think depending on your circumstances. If you have already tried updating drivers, and installed all the service packs for your OS, and you still have issues, its not like they are going to go away by themselves. If you have the software and drivers readily available to you, and you have backed up any data you absolutely cannot afford to lose, I'd go with a re-install.
At least then you can know that you are starting from scratch so-to-speak, with a completely clean machine.
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