Ty for all the tips, I'm just about 79 now and have gotten much smoother with the gameplay. Unfortunately I have had a string of malikas well runs with tanks who either will not or have no idea how to use mitigators so I have had to spam E.diagnosis after blowing my ogcds and Haima....very rough but it is def faster then hard casting diagnosis. Trust me I don't like being in that scenario but it's been a little crazy the amount of damage they're taking....the advice here has helped me quite a bit and hopefully my future abilities on the road to 100 are gonna make things even smoother (I don't usually preread my abilities as I want them to be a surprise). I think I also found a use for pepsis on the last boss in malikas well...it will cast multiple aoes in a row so it's not bad to use it there but I can def see how it's a very situational ability with an odd cd.