I'd wager if you can stay in the "berserk" HP range, you'll have no problems holding aggro at all with a Wurmy. Or most weapons, for that matter.
Much easier to do at lower levels though, obviously.
Otherwise, yeah, I'd go with dps weapons. I've seen level 1 Monks running around with epics, let alone the other twinks out there. Obsidian shards just don't cut it.
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