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Im typically holy but respec prot for the gimmick fights, or when we have a lack of warriors/feral druids online but by the sounds of it we are pretty similar on gear levels.
Once you have a decent level of gear so that survival or threat dont become too much of an issue I would say mana regen is probably the biggest problem we face. In BT I would typically be the 3rd tank so will only be tanking Bloodboil and on all others will switch to healing gear, unless the warriors decide they want to pew pew and we have planty of healers in.
On trash, mana is a complete nightmare and potting is unfortunately necessary unless you can grab mana breaks. On bosses such as Bloodboil unless I grab aggro reasonably quickly I will be oom after a couple of minutes and then my threat plummets.
Only real method we really have to mitigate this is if your threat isnt an issue, or your not tanking at a particular moment, then judge wisdom and seal wisdom as often as possible as long as the mobs are going to live long enough to see a benefit. Classic example is when Bloodboil enrages seal wisdom and swing away until hes about to resume normal phase.
The other situational method you can use is to tank more mobs at one so your getting more SA mana back.
From a purely ZA perspective I tend to run with Elixir of mastery over Adepts for the extra stam and int and MP5/stam food as I have over 500 Spell damage, and if the dps have to hold back slightly because of my threat its better than me going oom and them over aggroing/wiping us.
One final thing. Raid buffed I run at just over 7k mana and about 21k hp and have tended to sacrifice a bit of stam and mitigation for int to keep the mana up.
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