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Link to my after-game scoreboard
Also you already have tons of attackspeed and therefore dont need surge, which will be deleted soon anyways.
I would always take flash or heal over surge. Ignite is good.
If you improve your guide and work on the formatting it will get better!
Mine is a little different of course but not so much it matters. Probably the biggest diff is I start with the life regen portion of a philo stone and complete it first. After that my item of choice is the recurve bow for atk speed (those two items give amazing lane sustain for teemo and farm ability)then I often get boots.
I find the wits end is enough defense to save me from most ap dmg early (I build the mr before bow if they are good at harass) and the armor from building part of madreds is enough early to sustain against most ad (getting it before bow if they are good at harassing).
I had phage in my build for a little while but cut it out, and think it's the biggest mistake most teemo players make. he doesn't need to slow he is faster, it doesn't add much dmg (definitly not enough to be worth it) and is zero help in team fights. Plus this build is basically an assasin teemo build so the extra health isn't worth the lack of usefulness. I 1v1 any ad champ easy with this build, and the mr and dmg usually puts me ahead of ap too.
anyway I would change the surg and put tele in instead. It is extremely useful for sustaining lane, joining a group pushing a turret, or getting to a tea fight just in time to save the day. Since it targets his own shrooms.