Over time i have had a force of habit of Phlebotomizing at the start of a pull due to initial aggro of a tank which doesn't allow for successful HT 100% of the time. I also have made a habit of elusive jumping in backwards as a way to add an initial gap closer in a fight instead of wasting the dps potential of spineshatter with BFB/buffs or by running in with talon.

Im curious what other drgs have been doing about this? i suppose i may just need to get better at being able to HT at the start but honestly you never know with some tanks, some spin immediately meanwhile others delay it for a few seconds.

In all, the pre-mature use of phleb doesn't really mess up initial rotation to much other than you will skip it after chaos thrust and instead wait until after your first FT combo while still ultimately getting a buffd phleb on the boss in the end