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Compression loss doesn't typically occur immediately. It's a slow loss over a period of time. You would never notice the loss of power unless one day you pulled a 15,000# trailer up the grapevine at 70, and then a year later you weren't about to get over 45.
There are many things that can cause white smoke while the engine is warm, and doing a compression test is a worthwhile thing. If nothing else, it gives you a baseline in the event of future issues.
wick07, is there a reason you can't just rebuild yours? I'm positive the machine work on yours would be cheaper than buying an unknown used engine.
2002 F250 CCSB 4x4
PHP Phoenix, John Woods VB, NUC bypass, 6637
"No country can be called free which is governed by an absolute power;
and it matters not whether it be an absolute royal power or an absolute
legislative power, as the consequences will be the same to the people."
--Thomas Paine, Four Letters on Interesting Subjects, 1776