I was in a lot of pain at about 20 but the Censer did make a massive difference for reaching 24 easier (to me anyway).
I was in melee fine before that, it just took longer with more downtime. I did have a couple of 5 55 rings which obviously help but other than that mostly banded. I think melee is fine at these levels as Walking Sleep is pretty effective. I'm continuing to stand toe to toe.
As for giants. A decent damage/ratio weapon seems key but give it a go. As a good race you'll arrive at FV and travel through LOIO to WW. If soloing fails there are always a few people around to buff or group with.
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