I have tried the following, but it's only gotten worse.
- MS updates
- nvidia updates
- removal all nvidia drivers and perform full clean and then reboot then reinstall then reboot again
-remove FFXIV and delete all folders and re-install
-run as administrator
-set monitor to 60Hz
-checked IE settings and cleared cache
-tried windowed, fullscreen and fullscreen windowed modes
-removed all overlays
-clean boot by shutting down all startup items

https://pastebin.com/rdjpsDJp here's the dxdiag