Sure it is.
Both with Mrylokars or Thorn mainhand, claw/fang/essence/tuna whip offhand and swapping in ragebringer to offhand for backstabs is definitely worth it.
Swapping mainhand is pretty tryhard excepting maybe when using vyemm main and mrylokars offhand. But that'd probably be about equal dps with mrylokar mainhand vyemm offhand and swap the offhand to RB for backstabs. Within a dps or two if I had to guess.
Sub 60, and below that level of gear? It's likely not worth the stuffing around.
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