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I mean just a little bitty hill! '91 f150 4.9 - is there some switch or sensor that's getting weak? The fan will barely blow any air when the truck is going uphill now, it didn't use to be so weak...
Feel your defroster vents and see if its just blowing out there. Vacum lines controls the vents and might have a leak somewhere. Without vacum, everything blows out defrost vent, I think.