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2005 F250 FX4 Lariat CCSB - ARP studs, EGR deleted, IPR coolant filter, PHP FICM tunes.
This thread may be informative.
They suck, air and dirt. A 2019 F550 service truck. The filter was installed correctly, cover secure and connection clamps tight. It presented with a lack of power, coolant leaks and upper oil pan leak. This is just the latest from many examples I have seen.