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Where to take the points from is a challenge. You can definitely pull a point from Scout or Phasewalker. I'd be hesitant to take points from arcane mastery or mental force. Often there are fights where I save players with just a smidgen of health. I think it's beneficial to optimize AP once you're CDR-capped.
For the last two points, I would choose inspiration. I've turned that one on and off a few times. I DO get behind in levels, but I can't really feel it helping me catch up. Maybe it's invisibly helping and a mistake to remove, but I would take the two points from here.
You can put points into Strength of Spirit to help sustain. There's definitely a point in phasewalker/scount that you can easily take (and can't use it on meditation because you need 8 points in the first two levels). I've mentally committed that I have to land starcall to sustain. Having a little more hp/5 will only help a little. Even with ancient coin/nomad's, you can't just stand around and regen health. I get a little burst of excitement when I tag both lane opponents with a starcall (my duo partner is familiar with my little "whoop" over skype).
I also take homeguard to manage health. I'm typically empty at the end of fights, so I recall a lot. Homeguard gets me in and out. I took tp for a while, but it's not as valuable as heal/flash.
I never take runic affinity because I basically never have a buff. I probably SHOULD take blue, but haven't.