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Making a guess (possible clue path for you to go down), the alsa-utils package deploys a udev ruleset and some systemd services to save and restore state. It sort of sounds like your system is not detecting audio state on boot or some other shenanigan which an uninstall/reinstall of the package fixes by tricking the system into re-running udev and/or a service related. Start maybe with looking at what these are doing in relation to your configuration:
usr/lib/systemd/system/alsa-restore.service
usr/lib/systemd/system/alsa-state.service
usr/lib/udev/rules.d/90-alsa-restore.rules
In theory there’s data in /var/lib/alsa/
(usually an “asound.state” file, etc.) so it might be worth poking around there a bit as well to see what pops out of the woodwork.
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