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One of the first things I look at when a client asks me "why is my web site so slow" is the admin/build/modules page (actually, the first thing I look at is the client's internet connection). It's very rare that I don't find more than a couple of modules that are enabled for absolutely no reason - sucking down precious server resources.
Here's a few that I find most often - and are usually no-brainers to disable:
Trust me, this list is far from complete - go take a look at your modules page and you'll be surprised at what you're not using.