Really Low FPS

About 2 weeks ago my fps went from 180 down to like 60 then 40 and now 19-23 and I don;t know why. A few days ago it was fine for a day and then it reverted back to 20-30 fps.
Config Display:

-=-=-=-=-=-=- FFXIV Information -=-=-=-=-=-=-

MyDocument C:\Users\feldr\Documents
FINAL FANTASY XIV - A Realm Reborn C:\Program Files (x86)\SquareEnix
FINAL FANTASY XIV - A Realm Reborn Language 1 Region 2
ProxyEnable 0
ProxyServer unspecified
ProxyOverride unspecified

-=-=-=-=-=-=- System Information -=-=-=-=-=-=-

SYSTEM_OS Windows 10 Home 64-bit (6.2, Build 9200) (17763.rs5_release.180914-1434)
SYSTEM_CPU Intel(R) Core(TM) i7-9750H CPU @ 2.60GHz (12 CPUs), ~2.6GHz
SYSTEM_CORE_NUM SYSTEM_CORE_LOGIC 12 SYSTEM_CORE_PHYSICS 6
SYSTEM_BIOS N.1.52
SYSTEM_LANGUAGE English (Regional Setting: English)
SYSTEM_MEMORY 16241.438MB
SYSTEM_VIRTUAL_MEMORY 134217727.875MB
SYSTEM_PAGE_FILE 18673.438MB
SYSTEM_STORAGE C:\ SYSTEM_HARDDISK_DRIVE SYSTEM_TOTALDISC_SPACE 465.161GB SYSTEM_FREEDISC_SPACE 262.182GB
SYSTEM_DIRECTX_VERSION DirectX 12
SYSTEM_GRAPHICS Intel(R) UHD Graphics 630
SYSTEM_GRAPHICS_DEVICE \\.\DISPLAY5
SYSTEM_GRAPHICS_CHIP Intel(R) UHD Graphics Family
SYSTEM_GRAPHICS_MAKER Intel Corporation
SYSTEM_GRAPHICS_VRAM 128.000 MB
SYSTEM_GRAPHICS_SHARED_VRAM 8120.719 MB
SYSTEM_GRAPHICS_DAC Internal
SYSTEM_GRAPHICS_DISPLAY_MODE 1920 x 1080 (32 bit) (144Hz)
SYSTEM_GRAPHICS_DRIVER C:\Windows\System32\DriverStore\FileRepository\iigd_dch.inf_amd64_d78be53f62510940\igdumdim64.dll,C:\Windows\System32\DriverStore\FileRepository\iigd_dch.inf_amd64_d78be53f62510940\igd10iumd64.dll,C:\Windows\System32\DriverStore\FileRepository\iigd_dch.inf_amd64_d78be53f62510940\igd10iumd64.dll,C:\Windows\System32\DriverStore\FileRepository\iigd_dch.inf_amd64_d78be53f62510940\igd12umd64.dll
SYSTEM_GRAPHICS_DRIVER_VERSION 25.20.0100.6519
SYSTEM_GRAPHICS_DRIVER_DATE 1/9/2019 03:00:00
SYSTEM_GRAPHICS_DRIVER_LANGUAGE English
3.0
SYSTEM_GRAPHICS_PIXEL_SHADER 3.0
SYSTEM_GRAPHICS_VERTEX_TEXTURE SYSTEM_SUPPORT
SYSTEM_GRAPHICS NVIDIA GeForce RTX 2060
SYSTEM_GRAPHICS_DEVICE Unknown
SYSTEM_GRAPHICS_CHIP GeForce RTX 2060
SYSTEM_GRAPHICS_MAKER NVIDIA
SYSTEM_GRAPHICS_VRAM 14100 MB
SYSTEM_GRAPHICS_SHARED_VRAM SYSTEM_UNKNOWN
SYSTEM_GRAPHICS_DAC Integrated RAMDAC
SYSTEM_GRAPHICS_DISPLAY_MODE Unknown
SYSTEM_GRAPHICS_DRIVER C:\Windows\System32\DriverStore\FileRepository\nvtfi.inf_amd64_0ca25f83aca66702\nvldumdx.dll,C:\Windows\System32\DriverStore\FileRepository\nvtfi.inf_amd64_0ca25f83aca66702\nvldumdx.dll,C:\Windows\System32\DriverStore\FileRepository\nvtfi.inf_amd64_0ca25f83aca66702\nvldumdx.dll,C:\Windows\System32\DriverStore\FileRepository\nvtfi.inf_amd64_0ca25f83aca66702\nvldumdx.dll
SYSTEM_GRAPHICS_DRIVER_VERSION 26.21.0014.3160
SYSTEM_GRAPHICS_DRIVER_DATE 7/17/2019 03:00:00
SYSTEM_GRAPHICS_DRIVER_LANGUAGE English

SYSTEM_GRAPHICS_PIXEL_SHADER
SYSTEM_GRAPHICS_VERTEX_TEXTURE
SYSTEM_SOUND Speakers (5- G533 Gaming Headset)
SYSTEM_SOUND_DEVICE_ID {05F8C769-D9D8-4B3F-A895-46F1079A0DE7}
SYSTEM_SOUND_DEVICE_NAME USBAUDIO.sys
SYSTEM_SOUND_DRIVER_VERSION 6.02.17763.0001
SYSTEM_SOUND_DRIVER_LANGUAGE English
SYSTEM_SOUND_DRIVER_DATE 9/14/2018 00:00:00
SYSTEM_SOUND Speakers (Realtek(R) Audio)
SYSTEM_SOUND_DEVICE_ID {F49BFF34-453A-45AF-A98F-D74A7088AEDF}
SYSTEM_SOUND_DEVICE_NAME RTKVHD64.sys
SYSTEM_SOUND_DRIVER_VERSION 6.00.0001.8581
SYSTEM_SOUND_DRIVER_LANGUAGE English
SYSTEM_SOUND_DRIVER_DATE 11/27/2018 00:00:00
SYSTEM_INPUT {6F1D2B60-D5A0-11CF-BFC7444553540000}
SYSTEM_INPUT_NAME Mouse
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 3 SYSTEM_GAMEPAD_BUTTON 8 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {6F1D2B61-D5A0-11CF-BFC7444553540000}
SYSTEM_INPUT_NAME Keyboard
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 128 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {269E0330-9A7D-11E9-8005444553540000}
SYSTEM_INPUT_NAME G533 Gaming Headset
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 2 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {6E2B5A70-9381-11E9-8002444553540000}
SYSTEM_INPUT_NAME HID ACPI driver
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 1 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {269E9F70-9A7D-11E9-8006444553540000}
SYSTEM_INPUT_NAME G533 Gaming Headset
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {6E2B8180-9381-11E9-8004444553540000}
SYSTEM_INPUT_NAME HIDI2C Device
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {6E2BA890-9381-11E9-8005444553540000}
SYSTEM_INPUT_NAME ITE Device(8291)
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {269EC680-9A7D-11E9-8007444553540000}
SYSTEM_INPUT_NAME G533 Gaming Headset
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {18392A80-AB4A-11E9-8001444553540000}
SYSTEM_INPUT_NAME Gaming Mouse G502
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 652 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {18399FB0-AB4A-11E9-8002444553540000}
SYSTEM_INPUT_NAME Gaming Mouse G502
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 3 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {1839C6C0-AB4A-11E9-8003444553540000}
SYSTEM_INPUT_NAME Gaming Mouse G502
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {1839EDD0-AB4A-11E9-8004444553540000}
SYSTEM_INPUT_NAME Gaming Mouse G502
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {3D36B080-9A7B-11E9-8001444553540000}
SYSTEM_INPUT_NAME Corsair STRAFE Gaming Keyboard
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 4096 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {6E2BCFA0-9381-11E9-8008444553540000}
SYSTEM_INPUT_NAME ITE Device(8291)
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {3D3B6B70-9A7B-11E9-8002444553540000}
SYSTEM_INPUT_NAME Corsair STRAFE Gaming Keyboard
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {3D3BE0A0-9A7B-11E9-8003444553540000}
SYSTEM_INPUT_NAME Corsair STRAFE Gaming Keyboard
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {6E2BF6B0-9381-11E9-800A444553540000}
SYSTEM_INPUT_NAME HIDI2C Device
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0
SYSTEM_INPUT {3D3C55D0-9A7B-11E9-8004444553540000}
SYSTEM_INPUT_NAME Corsair STRAFE Gaming Keyboard
SYSTEM_INPUT_REMARKS SYSTEM_GAMEPAD_AXIS 0 SYSTEM_GAMEPAD_BUTTON 0 SYSTEM_GAMEPAD_FOV 0

-=-=-=-=-=-=- Application Information -=-=-=-=-=-=-

FFXIVLauncher
Spotify Premium
Screen Resolution Problems - Google Chrome
Settings
Settings
NVIDIA Control Panel
Microsoft Store
Microsoft Store
#yogurt-yummy-slurpee - Discord

-=-=-=-=-=-=- Install Information -=-=-=-=-=-=-

Avast Premier
Avast Secure Browser
Google Chrome
League of Legends
Mudfish Cloud VPN v4.6.1
Steam
Intel(R) Wireless Bluetooth(R)
Microsoft Visual C++ 2013 Redistributable (x64) - 12.0.30501
Avast Cleanup Premium
Microsoft Visual C++ 2013 x86 Minimum Runtime - 12.0.21005
Toolkit Documentation
FINAL FANTASY XIV - A Realm Reborn
Intel® PROSet/Wireless Software
Windows Assessment and Deployment Kit - Windows 10
Realtek Card Reader
Microsoft Visual C++ 2017 Redistributable (x86) - 14.13.26020
Google Update Helper
Microsoft Visual C++ 2017 Redistributable (x64) - 14.13.26020
Windows Deployment Customizations
Realtek Ethernet Controller Driver
Microsoft Visual C++ 2017 x86 Additional Runtime - 14.13.26020
Microsoft Visual C++ 2017 x86 Minimum Runtime - 14.13.26020
Avast Update Helper
D-Link DWA-192
Windows Deployment Tools
Kits Configuration Installer
Intel(R) Processor Graphics
Realtek High Definition Audio Driver
Microsoft Visual C++ 2013 Redistributable (x86) - 12.0.30501
Microsoft Visual C++ 2013 x86 Additional Runtime - 12.0.21005
Intel(R) Chipset Device Software
Windows System Image Manager on amd64
BlueStacks App Player
Logitech Gaming Software 8.82
Intel(R) Management Engine Components
Intel(R) Chipset Device Software
Intel(R) Management Engine Components
Microsoft Visual C++ 2017 x64 Minimum Runtime - 14.13.26020
Intel(R) Rapid Storage Technology
Intel® PROSet/Wireless WiFi Software
Logitech Gaming Software
GamingCenterU
Intel(R) PRO/Wireless Driver
Microsoft Visual C++ 2013 x64 Additional Runtime - 12.0.21005
Microsoft Visual C++ 2013 x64 Minimum Runtime - 12.0.21005
Intel(R) Rapid Storage Technology
NVIDIA Ansel
NVIDIA Graphics Driver 431.60
NVIDIA GeForce Experience 3.19.0.107
NVIDIA Optimus Update 37.0.0.0
NVIDIA PhysX System Software 9.19.0218
NVIDIA Update 37.0.0.0
NVIDIA SHIELD Streaming
NVIDIA HD Audio Driver 1.3.38.16
NVIDIA Install Application
NVIDIA ABHub
NVIDIA Backend
NVIDIA Container
NVIDIA TelemetryApi helper for NvContainer
NVIDIA LocalSystem Container
NVIDIA Message Bus for NvContainer
NVIDIA NetworkService Container
NVAPI Monitor plugin for NvContainer
NVIDIA Session Container
NVIDIA User Container
NVIDIA NodeJS
NVIDIA Watchdog Plugin for NvContainer
NVIDIA Telemetry Client
NVIDIA Telemetry Container
NVIDIA Virtual Host Controller
Nvidia Share
NVIDIA ShadowPlay 3.19.0.107
NVIDIA SHIELD Wireless Controller Driver
NVIDIA Update Core
NVIDIA USBC Driver 1.1.27.831
NVIDIA Virtual Audio 4.13.0.0
Microsoft Visual C++ 2017 x64 Additional Runtime - 14.13.26020
Intel(R) Management Engine Driver

-=-=-=-=-=-=- Proccess Information -=-=-=-=-=-=-

C:\Program Files (x86)\AVAST Software\Avast Cleanup\TuneupUI.exe 00001C08
C:\Program Files (x86)\Google\Chrome\Application\chrome.exe 00002310
C:\Program Files (x86)\NVIDIA Corporation\NvNode\NVIDIA Web Helper.exe 00003BD0
C:\Program Files (x86)\SquareEnix\FINAL FANTASY XIV - A Realm Reborn\boot\ffxivlauncher.exe 00003E50
C:\Program Files (x86)\SquareEnix\FINAL FANTASY XIV - A Realm Reborn\boot\ffxivsysinfo64.exe 00000118
C:\Program Files\AVAST Software\Avast\AvastUI.exe 00000A08
C:\Program Files\AVAST Software\Avast\aswEngSrv.exe 000022D8
C:\Program Files\Intel\Intel(R) Rapid Storage Technology\IAStorIcon.exe 000002AC
C:\Program Files\Logitech Gaming Software\LCore.exe 000002D4
C:\Program Files\NVIDIA Corporation\NvContainer\nvcontainer.exe 00001460
C:\Program Files\OEM\GamingCenterU\UniwillService\MyControlCenter\OSDTpDetect.exe 00002C8C
C:\Program Files\WindowsApps\Microsoft.SkypeApp_14.50.38.0_x64__kzf8qxf38zg5c\SkypeApp.exe 00003FC0
C:\Program Files\WindowsApps\Microsoft.SkypeApp_14.50.38.0_x64__kzf8qxf38zg5c\SkypeBackgroundHost.exe 000002BC
C:\Program Files\WindowsApps\Microsoft.WindowsStore_11906.1001.24.0_x64__8wekyb3d8bbwe\WinStore.App.exe 00002588
C:\Program Files\WindowsApps\Microsoft.XboxGamingOverlay_3.32.1003.0_x64__8wekyb3d8bbwe\GameBar.exe 0000403C
C:\Program Files\WindowsApps\Microsoft.XboxGamingOverlay_3.32.1003.0_x64__8wekyb3d8bbwe\GameBarFT.exe 00002818
C:\Program Files\WindowsApps\Microsoft.YourPhone_1.19071.866.0_x64__8wekyb3d8bbwe\YourPhone.exe 00000CE8
C:\Program Files\WindowsApps\NVIDIACorp.NVIDIAControlPanel_8.1.954.0_x64__56jybvy8sckqj\nvcplui.exe 00003360
C:\Users\feldr\AppData\Local\Discord\app-0.0.305\Discord.exe 00004344
C:\Users\feldr\AppData\Local\NVIDIA\NvBackend\ApplicationOntology\NvOAWrapperCache.exe 00003F10
C:\Users\feldr\AppData\Roaming\Spotify\Spotify.exe 00002F0C
C:\Windows\Explorer.EXE 00000634
C:\Windows\ImmersiveControlPanel\SystemSettings.exe 00000500
C:\Windows\System32\CompPkgSrv.exe 000045C8
C:\Windows\System32\DriverStore\FileRepository\cui_dch.inf_amd64_767e7683f9ad126c\igfxEM.exe 00002684
C:\Windows\System32\RtkAudUService64.exe 00001B00
C:\Windows\System32\RuntimeBroker.exe 00000838
C:\Windows\System32\SecurityHealthSystray.exe 000009B4
C:\Windows\System32\smartscreen.exe 000013B8
C:\Windows\SystemApps\Microsoft.LockApp_cw5n1h2txyewy\LockApp.exe 00003EA0
C:\Windows\SystemApps\Microsoft.Windows.Cortana_cw5n1h2txyewy\SearchUI.exe 00002F20
C:\Windows\SystemApps\ShellExperienceHost_cw5n1h2txyewy\ShellExperienceHost.exe 00000F60
C:\Windows\system32\ApplicationFrameHost.exe 00003BAC
C:\Windows\system32\DllHost.exe 00001E3C
C:\Windows\system32\SettingSyncHost.exe 000000FC
C:\Windows\system32\backgroundTaskHost.exe 000043C0
C:\Windows\system32\conhost.exe 000005C0
C:\Windows\system32\rundll32.exe 00004624
C:\Windows\system32\sihost.exe 00001A18
C:\Windows\system32\svchost.exe 000040F4
C:\Windows\system32\taskhostw.exe 000035D0