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A few suggestions
Get tanky boots and buy a glacial shroud for help with cooldown, mana and armor. Cheap good early game item, helps you farm and survive. If the enemy team is counting on attack speed then you can build it into a frozen heart.
Replace exhaust with teleport. You already have wither to act as an anti carry, and while teleport is generally considered a "noob" spell to take for Nasus it is very useful, helpful for maintaining presence around farming and team fights, and making use of Nasus' split push potential.
Strong build, but Clarity isn't necessary. Ghost is so much better. In addition, try Strength of Spirit instead of Nimbleness.
Might be worth trying out, Thanks for the feedback :)
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