Autoloaded Data – Slow Performance -504's

I need help reducing our autoloaded data.

Top largest autoload rows: (Many are ALB related)
mysql> SELECT LENGTH(option_value),option_name FROM wp_options WHERE autoload=’yes’ ORDER BY length(option_value) DESC LIMIT 20;

+———————-+———————————————————————-+
| LENGTH(option_value) | option_name |
+———————-+———————————————————————-+
| 385450 | _transient_dirsize_cache |
| 255578 | av_alb_usage_av_hr |
| 126340 | av_alb_usage_av_icon_box |
| 125704 | av_alb_usage_av_one_half |
| 91416 | av_alb_usage_av_heading |
| 90163 | av_alb_usage_av_textblock |
| 79256 | rewrite_rules |
| 69289 | av_alb_usage_av_social_share |
| 43469 | widget_black-studio-tinymce |
| 35009 | _transient_wr2x_issues |
| 34134 | avia_options_enfold_child |
| 32789 | av_alb_usage_av_one_full |
| 32034 | monsterinsights_report_data_yearinreview |
| 25179 | ws_menu_editor_pro |
| 25099 | _ubermenu_menu_item_styles |
| 24708 | wp_user_roles |
| 21742 | bwp_minify_detector_log |
| 21496 | av_alb_usage_av_image |
| 21002 | _transient_mailpoet_subscribers_statistics_count_cache |
| 19880 | _transient_mailpoet_subscribers_statistics_count_global_status_cache |
+———————-+———————————————————————-+

Total autoloaded data (in bytes):
mysql> SELECT SUM(LENGTH(option_value)) FROM wp_options WHERE autoload = ‘yes’;

2014471
WP Engine wants that total to be under 800k or so for good performance.
This is ~1214471 bytes larger than 800k. They recommend reducing this to below 800k for good performance.
Their documentation on this says to work with the Theme author to be safe.
Ref. https://wpengine.com/support/database-optimization-best-practices/#Autoloaded_Data
Please help. Our site is slower than normal Backend and Fronend and is more frequently hitting 504s.
I ran wp-optinize and did some clean up on other plugins, tables etc. but need help with this