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However, my advice would be to first play Hard and get comfortable with it. It should feel "Normal" before you move onto the next difficulty.
If you want to just rush through it, and beat it at all costs using whatever means necessary... then I would farm the items on lower difficulties. When fighting the DMD bosses, I would wait to die at least 10 times before going all in with the items. Get a good idea of how much of the health bar you can remove before you have to cheese him using items, that way you can optimize how many items you consume. If you die after using the itmes, then it's probably quicker just to quit and reload the save so you don't lose the items you spent farming.