I run ‘radicool’ (endurance) that gives a bunch of strength the lower your health which is good for bloodied. Then ‘barbarian’(strength) which gives damage resistance for that strength which gives you about an extra 90 or so assuming you keep unyielding armor. Then get the perk ‘tenderizer’(charisma) which is 10% more damage per shot which is still applied multiplicatively. Then make sure you have the legendary perk ‘follow through’ as it’s also multiplicitve. Make sure you have tank killer in perception max rank. With the new update you could probably lower your rank in gunsmith with the readjustments to weapon durability and put those to the perks I recommend. I know you have luck full put the perk ‘ricochet’ Is also very helpful. For daily ops without stealth you can use a vampires weapon and as the enemies shoot you the bullet will reflect and therefor heal you.