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Should I drop alchemy and do first aid?
NOPE
First Aid, Fishing, Cooking are all all Secondary skills, you can have all 3 as well as your 2 primary skill choices.
Fishing is just money in the bank, even if you never cook one, some alchemy stuff needs fish, Oily Blackmouth, firefin snapper,Stonescale Eels. without fishing you will be stuck paying a crapload for the fish you need.
Cooking is great for just about everybody but a mage(you just make food). It still holds relevance for mages as the high end food gives some buffs.
First Aid...... all I can say is you MUST have this skill to raid. it also speeds up PvE game play a lot as well as being a vital tool in PvP(polly, Bandiad restart fight).
But the awnser is you dont have to give up alchemy/herb for First aid, the earlyer in the game you have it the faster leveling will go.