LSP not receiving [elixirls]

Version: NVIM v0.7.0-dev+975-g4a96e7809
Platform: Darwin (Big Sur)
ElixirLS version: v0.9.0 (elixir-ls-1.12)

I am having issues with elixirls and am not sure if it is with the LS or the nvim lsp. I have asked around in the elixir community and no one else seems to have this issue. I don’t think it is the nvim lsp as this works with tsserver without any hiccups. But thought I would ask here as I have hit a wall and don’t know where else to go.

The Issue:
Every command I to trigger via LSP, I do not get any feedback in nvim. I enabled the debug logs and compared against js working command, and noticed I do not get any rpc.receive when using elixirls.
The weird part is, that it will work 1 in 100 times… I will be able to go to def or hover dock using elixirls but most the time i do not get any response. I put a small snippet of my config and output.

LSP Config:

local nvim_lsp = require("lspconfig")

local on_attach = function()
    local opts = {buffer = 0}
    vim.keymap.set("n", "K", vim.lsp.buf.hover, opts)
    vim.keymap.set("n", "gd", vim.lsp.buf.definition, opts)
    vim.keymap.set("n", "gt", vim.lsp.buf.type_definition, opts)
    vim.keymap.set("n", "gi", vim.lsp.buf.implementation, opts)
    vim.keymap.set("n", "]d", vim.diagnostic.goto_next, opts)
    vim.keymap.set("n", "[d", vim.diagnostic.goto_prev, opts)
    vim.keymap.set("n", "<Leader>d", "<cmd>Telescope diagnostics<CR>", opts)
    vim.keymap.set("n", "<Leader>ca", vim.lsp.buf.code_action, opts)
    vim.keymap.set("n", "<Leader>r", vim.lsp.buf.rename, opts)
    vim.keymap.set("n", "<Leader>f", vim.lsp.buf.formatting, opts)
end

local function make_config()
    return {on_attach = on_attach}
end

local servers = {"elixirls", "tsserver"}

for _, lsp in ipairs(servers) do
    local config = make_config()

    if lsp == "elixirls" then
        config.settings = {
            elixirLS = {dialyzerEnabled = false}
        }
        config.cmd = {
            vim.loop.os_homedir() .. "/.local/share/elixir-ls/language_server.sh"
        }
    end

    nvim_lsp[lsp].setup(config)
end

Debug output when trying to Hover Doc:

➜  ~ tail .cache/nvim/lsp.log
[DEBUG][2022-01-30 21:07:11] .../lua/vim/lsp.lua:1023	"LSP[elixirls]"	"client.request"	1	"textDocument/hover"	{  position = {    character = 13,    line = 19  },  textDocument = {    uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"  }}	<function 1>	1
[DEBUG][2022-01-30 21:07:11] .../vim/lsp/rpc.lua:347	"rpc.send"	{  id = 4,  jsonrpc = "2.0",  method = "textDocument/hover",  params = {    position = {      character = 13,      line = 19    },    textDocument = {      uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"    }  }}
[DEBUG][2022-01-30 21:09:03] .../lua/vim/lsp.lua:1023	"LSP[elixirls]"	"client.request"	1	"textDocument/hover"	{  position = {    character = 13,    line = 42  },  textDocument = {    uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"  }}	<function 1>	1
[DEBUG][2022-01-30 21:09:03] .../vim/lsp/rpc.lua:347	"rpc.send"	{  id = 5,  jsonrpc = "2.0",  method = "textDocument/hover",  params = {    position = {      character = 13,      line = 42    },    textDocument = {      uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"    }  }}
[DEBUG][2022-01-30 21:09:05] .../lua/vim/lsp.lua:1023	"LSP[elixirls]"	"client.request"	1	"textDocument/hover"	{  position = {    character = 24,    line = 47  },  textDocument = {    uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"  }}	<function 1>	1
[DEBUG][2022-01-30 21:09:05] .../vim/lsp/rpc.lua:347	"rpc.send"	{  id = 6,  jsonrpc = "2.0",  method = "textDocument/hover",  params = {    position = {      character = 24,      line = 47    },    textDocument = {      uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"    }  }}
[DEBUG][2022-01-30 21:09:06] .../lua/vim/lsp.lua:1023	"LSP[elixirls]"	"client.request"	1	"textDocument/hover"	{  position = {    character = 24,    line = 47  },  textDocument = {    uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"  }}	<function 1>	1
[DEBUG][2022-01-30 21:09:06] .../vim/lsp/rpc.lua:347	"rpc.send"	{  id = 7,  jsonrpc = "2.0",  method = "textDocument/hover",  params = {    position = {      character = 24,      line = 47    },    textDocument = {      uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"    }  }}
[DEBUG][2022-01-30 21:09:06] .../lua/vim/lsp.lua:1023	"LSP[elixirls]"	"client.request"	1	"textDocument/hover"	{  position = {    character = 24,    line = 47  },  textDocument = {    uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"  }}	<function 1>	1
[DEBUG][2022-01-30 21:09:06] .../vim/lsp/rpc.lua:347	"rpc.send"	{  id = 8,  jsonrpc = "2.0",  method = "textDocument/hover",  params = {    position = {      character = 24,      line = 47    },    textDocument = {      uri = "file:///Users/Tom.Konidas/dev/backoffice/lib/backoffice/affinity.ex"    }  }}