I almost never use physick anymore. At ilvl 90+ mana is literally a non issue (it was barely an issue before, but now it simply isn't even something I think about anymore), so I can drop adlo all day long and be just fine. If I need to drop big numbers, I can just drop a single lustrate rather than 2 physicks (depending on the health of the tank).
Only time I use physick is when I get stuffed in those awful awful pre level 30 dungeons where I become a regular arcanist again. But then I mostly just let Eos heal and spend all my time pew pewing

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