I made some route changes to the Horde levels 43-44 sections.  I have swapped 44 Dustwallow Marsh with 44 Desolace (the entire sections). This allowed me to do Deadmire (at lvl 43 instead of 38) and then go stop at TB to turn in Deadmire + The Black Shield at the same time, then fly quickly to do the Desolace stuff.  Doing 44 Desolace is now mandatory because I think its faster with the new routes. This will also make the level 53 grind much shorter.  I think these were great changes.
Starting off at some mid level? Come into the guide from any level, scroll through, find and click the level you want to start with, and the guide will take it from there. Zygor suggests starting the guide a level or two before your level. This is to allow you to work you way into the local quest chains. Just skip the chains for quests you didn’t pick up along the way, or the quests that you already did. 

Patch 8.1 has introduced new reputation items that can be purchased using Seafarer's Dubloons earned in Island Expeditions. These items can be purchased for 100 of the Seafarer's Dubloons and grant 250 of the reputation linked to the item purchased. This can be used as a great catchup mechanic for reputations needed for the primary reputations in Battle for Azeroth. The specific items can be found in each of our reputation guide pages.
These meats are usually really cheap, so I recommend to switch to these dishes at 50, but if they are expensive on your realm, then it's better to make more [Rank 2 - Kul Tiramisu] up to around 75. As a general rule, if 1 Aromatic Fish Oil cost around the same as these meats, then you should make Kul Tiramisu because even if you have to craft 2-3 for a skill point, you would still only need 4-6 Fish Oil, instead of the 10 meats.

DoTs: Assuming that the mob is going to live for certain periods of time, it is worth it to place DoTs up. If the mob lives for at least five seconds, cast Pain. If it lives at least seven seconds, cast VT. The ideal time to cast DoTs is when it would be replacing Flay, but you can substitute Blast if the mob will live longer. Make sure to cast Bolt on cd though!