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garens q spell procs lifesteal. and garens damage output is lousy if you ONLY use judgement.
none of garen's moves proc anything except for critical hits. his Q is a spell and does not proc lifestela nor anything else.
I love that you get brutalizer asap on garen because it is literally amazing item for him in early game, but you are a tad slow without your Q up, and survivability is lower without the boots.
I guess its user preference. I think boots are best as a first item.
I think you should cut the vampiric scepter and go straight to the giant's belt.
replace bloodthirster with infinity edge and take trinity force as a last item purchase.
bloodthirster only benefits garen through its attack damage, his moves do not proc life-steal. also infinity edge goes well with youmuu's crit chance and helps garen's spin, as judgement can proc critical hits.