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Its all on what you prefer. I like to do main, because I have broken steel. If you don't, I would do the main until you complete "The Waters of Life" quest. Then, do any and everything you wish to do. If you have broken steel, I would finish the main quest as fast as possible. It opens up some repeatable quests like "Super Mutant Blood Samples" where you get caps and XP for killing uglies

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