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no survivability u will die too easy and miss out on all the aoe u could be doing throughout the whole fight
Not sure what you're looking at--a Doran's Shield for early game, Rylai's has 500 health, there are Vitality seals, and there's an Abyssal Scepter. I rarely die more than 3 times in a game, if that. Please actually try the build (and maybe listen to some of the advice of the guide) before you vote it down.
So either you think like a high ELO player, or you watch live streams ;P