The Al and Fe are likey due to the fuel at 5.5%!
Who did the report? Did they mention the fuel? What other comments (if any) were included? I assume it was Blackstone, because they list "insolubles" and not soot/oxidation.
I am going to make some presumptions here, so that my comments make sense. If my presumptions are false, that would negate the obvious. You post a great many UOAs for many vehicles, so I'm not really sure if this is your truck or just a friend/relative. I'll refer to it presuming it is yours, but realize it may not be ...
Is the 6.4L stock or near stock? These engines (along with the LMM Dmax engines) really can dilute the oils with the regen process. This is a classic example of this issue. The 6.4L engine is an outgrowth of the 6.0L engine, with some major upgrades. The HEUI is gone, but the common rail and piezo injectors still cannot negate the emmisions issues. I suspect one of two things:
1) you're not getting the engine as hot as needed so that you're burning out the DPF, therefore the regens are excessive, and the high fuel content is the result. This is a classic response of diesel trucks that are used as cars, rather than put to work like a truck.
2) you have a leaking injector. Possible, because failures do occur, but these injection systems have been fairly reliable as I understand.
Is this the T5 in 10w-40? That is the only Rotella product I know of with that vis. If so, I suspect someone paid a fairly high price for it (it's a bit of a rare beast to find on the shelf, and while I have seen it in person, I've not ever seen it on sale). Someone paid a lot of money to use a semi-syn, which frankly probably didn't protect the engine any "better" than a decent dino oil with rebate. One could save money if this 6k OCI plan is the predetermined route. No need to pay for such expensive oil when you're going to dump it this early (and frankly you should be, as the fuel is maxed out and likely affecting the wear).
You mentioned that you refilled with Rotella, but didn't mention which product?
I would suggest dino oil dumped at 5k miles to keep fuel, and therefore wear, down as best possbile. Then investigate the root cause (leaking injector or light use).