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At high populations it's mostly about efficiency.
Are there parks/entertainment?
Is your land value decent?
Is there education access?
Is there a proper way to reach it?
I have been having this exact same problem. I've been playing the same save file of this scenario for over two years. Every so often I need to take a break for my sanity, but for months I've been hitting that 199k cap hard. I have most of the monuments in play now. Education is a non-issue, land value is maxed under the Eden project, and my transport infrastructure is overhauled to the best of my ability to keep traffic jams down.
For what it's worth, I don't have campus or the latest dlc. I don't know what difference it makes. In the last couple of weeks I did have to go all around my city and plop childcare centres everywhere. I haven't even had a death spiral from insufficient crematoriums in forever. I don't know if it's a glitch, my PC specs, or what. I shouldn't think so, because I beat the other high pop disaster scenario (the one with the tornadoes) back in late 2017.
This is my hell. I have honestly walked away from ever attempting to finish it about 4 times. It bugs me that I have to leave it unfinished, and it gnaws at me, if only because I am done if I have to go through that early tsunami survival phase all over again on a fresh start.