This may not be your solution ... but I try to avoid TCP tunnels (PPTP) whenever possible. TCP traffic (like SMTP) inside a TCP tunnel goes through double congestion control and one can affect the other.
http://www.docstoc.com/docs/37194256/Un ... nneling-on
So your voip (UDP) or short TCP sessions could be fine inside the TCP tunnel, but long TCP sessions could build up enough errors to slow down to a crawl overtime. You can test this by restarting the mail service and see if the immediate speed is better and whether it degrades overtime.
The low MTU requirement suggests that you already have some overhead on the T1. I don't know much about T1, but if the underlying ISP protocol is also PPTP, then you may have TCP inside TCP inside TCP ... but again, this could be wrong.
Use L2TP for your tunnel.
GL