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Low-medium would be the best. I suggest letting Geforce Expierence set up your settings for you.
http://www.geforce.com/geforce-experience
Make sure you close as many programs as possible before running the game.
Keep your screenshots (in the EA folder in Documents) folder a bit clean, and try not to make huge save files. So start a new fresh game every now and again.
Try to keep custom content and mods to a minimum, or just make sure your game isn't affected by them if you install them.
You could also try running Razer Cortex, it might help:
http://www.razerzone.com/cortex/boost