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If I had the truck I could plug in a scan tool, go for a ride, and tell you what's happening. My guess is that it isn't shifting to overdrive, which is 4th gear.
What he's talking about is useing the scan tool to see what the PCM see
the od light was never flashing. one of my buddies at the ford dealer plugged in the scanner he is a diesel mechanic there so i am assuming he used the correct scanner