TDP Level, Power Balance and the PP0 Power Limit are not supposed to be checked. Set the PP0 Power Limit back to zero, press Apply and then clear the check mark in the PP0 Power Limit box and press Apply or OK.
Upgrade to ThrottleStop 9.5. Check the Windows Defender Boost box in the Options window.
ThrottleStop shows that you have Windows 11 and Virtualization Based Security is enabled. ThrottleStop does not work correctly until you disable VBS.
Getting frame drops while playing games in Windows 11? VBS might be the reason and here's how you can disable VBS in Windows 11.
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After VBS is disabled, reboot and delete the ThrottleStop.INI configuration file before running ThrottleStop again. If you do not disable VBS, the majority of items in the FIVR window will not work.
45W is not enough power for a 9750H. Try setting MSR PL1 and PL2 to at least 60W or 70W if your cooling can handle this. Some laptops are hard locked to 45W so this might not help. After you increase the power limits, run Cinebench and watch to see if your CPU can maintain more than 45W long term.
What does ThrottleStop report for C0% when your computer is idle at the desktop? There has to be next to nothing running in the background or the 45 multiplier will never be used. Run a TS Bench 1 Thread test. What is the highest multiplier you see during this test? Push the Print Screen button on the keyboard to get a snapshot.