Universal transmission fluid? Which one? You HAVE TO REALIZE by now, that the details matter with our engines (and transmissions)!!
Note that our transmissions have an internal thermostat that will prevent a typical flush from being very effective. I doubt that most shops use the proper procedure. The only one accepted as being a good flush procedure is the one below:
SO - Specifically where did you have your flush procedure done?
The Valvoline Max Life, specifically labeled as an acceptable replacement fluid for Mercon LV, has proven to be good to use. This fluid was touted in the early days for its use in our transmissions. Many people over the years have used it without issue, so it has "proven itself".
Over on FTE, a member has used the Royal Purple MAX ATF for 15 or so years now and his transmission is still going strong. Like Valvoline MaxLife, MAX ATF is also advertised as an acceptable fluid for transmissions that use Mercon SP/Mercon LV. Although this is a data point of ONLY one, I trust this person to tell the truth, and this fluid has been successful in his transmission for a LONG time.
There probably are other acceptable fluids for the 5R110W (probably Amsoil makes one, but I don't know for sure), but I wouldn't use them just because I haven't seen
proof of their acceptable performance. There is no doubt that the proper fluid is VERY, VERY important for reliability on our transmissions.
Our transmissions are typically very good and reliable, but watch the forums. Some people have had major problems - and they are expensive to work on or replace.
Now, that being said, I have stuck with Mercon SP. I have run a fairly heavy tune for much of my trucks life. I have had no issues to date.
I do not flush the transmission. I do a series of drains and refills, with 30-50 miles of driving done in between each drain/re-fill. The driving is done to ensure complete mixing of the new fluid with the fluid left in the transmission (there is a large volume of fluid that remains in the system when you drain from the drain plug (or even when you drop the pan). I do this 4 times and call it good. Assuming complete mixing, the process I described will give you OVER 90% new fluid in the system. I do this process EVERY 25k miles. The fluid is expensive, but so is paying for a "flush".
Note that you have two transmission fluid filters. One inside the transmission and a bypass filter that is external to the transmission. The internal one does not need replacement on any pre-defined frequency. The external filter MUST BE changed every 30k miles. I change mine at 25k miles.
If you are just taking your truck to a quick fluid change place to have things like that flush done, you will eventually have problems (maybe even sooner rather than later). I have my doubts that most quick fluid change places even know about the external filter.