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If you're going physical dps then I think the best build for me is:
starting items (first 18 or so minutes):
doran's shield + health pot
mercury boot, berserker boot, or mobility boot (depends on who they have)
eventual items (rest of the game):
maldred's bloodrazor if they have stubborn tanks
this is very much a glass cannon build though. if they have a lot of caster dps or stuns or anything else that can train wreck a low hp teemo then you may want to sacrifice some offensive items for some defensive items.