Meet @jordibruin developer of Navi (and other great apps) and organizer of @swiftuiseries (with an accessibility category). Navi is sadly not available anymore but it was worth an Apple Design Awards nomination. It added subtitles to FaceTime!

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VoiceOver will traverse elements from left-right, and from top-bottom. If for any reason you need to change that order, in SwiftUI you can change the accessibility sort priority. A higher priority number in the container means it will go first.

Sometimes your UI will just not scale for large text sizes. Simple changes, for large sizes, like disposing elements vertically instead of horizontally, reducing the number of columns, and allowing more lines of text, can do the trick most times.
@azzoor has this great video with some advice on how to set up your device for testing accessibility and a ton of tips will get you testing effectively in no time. https://m.youtube.com/watch?v=Ca1H6wF348g&feature=youtu.be