I got video playback including YouTube working smoothly by switching to Debian and installing pulseaudio-qubes. HDMI audio no longer works after updating Fedora, but it works on Debian.
I have installed R4.2 on my L14 and also experienced WiFi not working after suspend, which is also fixed by reloading kernel module in sys-net. I did not have this issue in R4.1 so I found that strange. The only other difference I could think of was that I used the default Fedora template in R4.1, but R4.2 uses Fedora-xfce.
When I switch sys-net from fedora-39-xfce to fedora-39, WiFi works again after suspend without needing to reload kernel modules.
So that would make it a template issue instead of a hardware compatibility issue.