I'm currently running with this https://eu.battle.net/d3/en/profile/frankthetank-2614/hero/58909933 I have changed out some of the gear though but the build is the same. I'm currently running a random ancient weapon + tal'rasha offhand, focus and restraint rings, those are the differences from bnet gear. I almost always play with friends so I have only ran solo 35 atm I think but I can probably do 40 solo now. We have done grift 45 as a group and almost finished a 47 yesterday but for some reason we all got kicked out of the game right before the rift boss died we had around 5 min left on timer with less than 20% hp on the boss.
I love the gizzard gem as it keeps me more stable and im thinking about switching out one damage gem for esoteric on higher grifts for more safety.