Low FPS in DayZ

Even on lower settings I can get 70 FPS outside civilization but as soon as I enter a city or town it drops into the teens. I understand it should drop a bit due to zombies, but should it really be that much? Any help fixing this issue would be appreciated. Here are my system specs:

Motherboard: ASUS M59A7 R2.0
Video Card: NVIDIA EVGA GTX 680 (Stock speeds)
CPU: AMD FX-8320 (Running 4 cores at 4.5Hz)
CPU Cooler: Hyper 212 EVO
PSU: Thermaltake TR2 RX 850W
Primary drive: OCZ Agility 4 SSD
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