Spiritual Attunement vs Blood Ritual

Witch Doctor
While waiting to reach Vision Quest at lvl 40, I am at a loss of whether BL or SA is better for mana management pre-40.

They both seem valid and good at different situations. What do you think is better pre-40?
i am having trouble with my spiritual attunement, i dont think the 1% is working.

i can feel the 1% hp regen really easily, but when i drain my pool and watch it regen with and without attunement, i am getting nothing out of it.
Attunement is better for more mana while Blood Ritual is defensive with its life regen.

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