Currently, there are fourteen macros provided for stack manipulation.
Along with the fundamental, POP(), PUSH() and PEEK(n) the following eleven are also provided:

TOP()          
SECOND()       
THIRD()        
FOURTH()       
SET_TOP(v)     
SET_SECOND(v)  
SET_THIRD(v)   
SET_FOURTH(v)  
SET_VALUE(n, v)
STACK_GROW(n)
STACK_SHRINK(n) 

These are unnecessary as compilers have long understood the sequences of pointer increments and decrements that is generated by using POPs and PUSHes.

See https://godbolt.org/z/Htw-2k which shows GCC generating exactly the same code from just POP, PUSH and PEEK as from direct access to items on the stack.

Removing the redundant macros would make the code easier to reason about and analyze.
TOP() and SECOND() are used quite heavily and are trivial to convert to PEEK by tools, so should probably be left alone.

Notes:

I'm ignoring the stack debugging macros here, they aren't a problem.
The EMPTY() macro is only used twice, so might as well be replaced with STACK_LEVEL == 0.
Sadly, there is no "maintainability/code quality" selection for "type" of issue, so I've chosen "performance" :(