I have a macro line for each element and goes to the set of spells for the element i choose. I have macros set for specific situations with the gear needed for those. Even though I'm running around with my noob 75 gear, I still have macros set for the piece needed to for those situations. I would like to get into windower but I end up on my console more so running the endless fields of macros is a pain, but I do what I can.
By no means do I want to make myself look like crap, but for the time I put in I don't have anything above par for gear. So I'm stuck between AH gear and common rewards from missions/quests. Sorta limited, but I haven't failed yet.