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Now back at the Sounds and Audio Devices Properties, click the Audio tab. Make sure that the drop down menu under Sound playback is set to your Realtek audio device output. Click the Advanced button under Sound playback. Make sure that your speaker setup is configured properly for the speakers that you have.
You can turn it off and still have realtek work just fine. The driver is still loaded, just not this extra manager. I don't like extra icons so have mine off. Oddly enough even the extra settings you can change from there are still enabled/disabled with it off. The nvidia stuff is for shadowplay, which you can load later, same goes for geforce experience.