If you quickly turn the handle "almost all the way up", does the flow diminish as the hot makes its way to the cartridge, or is the flow restricted at that position, regardless of how hot the arriving water is?Symptom- Have to turn handle almost all the way up to get any hot water, and by the time I do get hot water the pressure starts dropping. I have replaced the cartridge with two others and it does not fix it.
Another test, if there is doubt, would be to turn off (or vacation setting) the water heater at least overnight. When the water from the WH is cool, do you get more flow?