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Runas works, and tools exist to automatically prompt for runas instead of immediately failing whenever you perform a security-limited action.
It's actually getting easier as the years go on to run all but a few packages as non-admin, though it's still easier for me to regularly use 2 different accounts depending on what I need. (I'm willing to hunt down the registry permissions and even make appcompat shims for some vital software, like quickbooks for work, but for some things it's just less annoying to use switch user.)
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