We've given you straight answers, but I don't think you understand Filestream, so they don't make sense. You have to invest a bit to understand how this works to...

Stats are more important that index maint, indexes in sql server are fairly robust as long as the stats are good

If you need extra disk space extend the disks

Will be disk issue most likely

I dunno why I can't wrap my head around this... but I'm so confused how creating a brand new table that ISN'T filestream... still keeps the files intact.  Where...

That’s what filestream does, stores the files directly on a dedicated  ntfs...

never confirmed that, that’s a whole different ball game.

to get access to the raw...

I found multiple docs on first search

I...

aside what Ken stated, what have you done so far to produce your own solution

anyone finding the posts in last couple months are real Facepalmers

Have you checked the documentation for Filestream.

The files are not stored in filestream data file, the symbolic links to the OS level file are stored.

I strongly recommend you read all...

you can't realistically expect the answer to this from a forum post, we have no way of knowing what's driving the size changes.

Check index create dates and find out if...

whats changed recently, has someone created new indexes by any chance?

There are 2 permissions that need to be applied to service accounts when running under a low privilege domain account

• writeserviceprincipalname
• readserviceprincipalname

some AD admins don’t like to grant these some...

You can see if SPNs are generated automatically from the sql error log

if not generated automatically would warrant further inspection to see if they have been manually created