By levelling, do you mean progressing through normal PvE? I find that /R can be fun with a pet, although he's not the best option. If you're playing Prophecies, you won't have access to Mending Touch, and I don't think Rebirth comes until you're in the Maguuma Jungle, leaving you with no good Monk skills for quite a while (that's if you go /Mo). I'd go /R, just because its more fun than the others.
EDIT: In regards to /E, you can get an elemental mod (any of them except ebon), and use it with Conjure <element>. I wouldn't really recommend much else from the Elementalist skills, as most of them have a too high energy cost to be used to any useful level.
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