Hello, @Philip Wesley !
Why am I getting poor VM performance on my Azure Lab Services v1 (Lab Accounts) "Medium" VM?
Are you using v1 (Lab Accounts) or v2 (Lab Plans) of Azure Lab Services? Poor VM performance could be tied to the hard drive.
For v1 (Lab Accounts) "Medium", the guaranteed rates can be relatively slow as they use HDD disks (although faster drives may have been used in the past due to availability).
For v2 (Lab Plans) "Medium" as well as nested virtualization, an SSD is used which would account for the faster speeds.
The suggestion for better performance would be to move to v2 (Lab Plans) to take advantage of the SSD speed. If you are already using v2 (Lab Plans), then the recommendation is to open a ticket to see why you aren't getting the expected performance.