Other notable swaps are regrowth/stampede can be changed for spectral if they are heavy crit. Heartwood can be removed if they have ah puch and Horus. Contagion can be swapped in for lifesteal-heavy comps or Stygian for heal-heavy comps. If replacing heartwood, build Genji's over Ancile for CD and mana
if they are magical heavy
if they are building health shred and or cooldown and mana feel more valuable than the silence
More team util and can take an extra relic, if you are behind build this earlier
