Clean Up Computer

How to clean my computer thouroughly without formatting?

Ok, so my computer has been running pretty raggedy latly and i had just a bunch of junk on it. I run antivirus that updates regularly, i have spyware scans i do regularly, i do everything you can. I run zone alarm. So i just deleted a lot of things, but how can i clean memory and remove pointless things that are just acting as clutter? What else can i do other than completly formatting to help my computer.
Yes, i defrag like every 4 weeks or so. I delete everything i run scandisk everything is fine. But it jsut runs slow not like it should to my standards at least. Is there a way to clean windows or clean memory or do something to kind of refresh it? For some reason i jsut think my windows operating system is a clutter from all the stuff i download. I just think it should be performing better

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