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I had an H&S tuner installed, along with DPF and EGR delete, and CAI. My remote start wouldn't work after the work was done, but it turned out the hand held transmitter settings got screwed up and it had nothing to do with the tuner.
All I can say is Holy *****. Now I understand why the engine doesn't come this way from Ford, they have to meet all the emission standards. But THIS is the reason people buy diesel trucks. Horse power and torque that never seems to quit. I do however think I'm not in the throtle so much, because the power is incredible. Can't say anything about fuel economy, since I've only run 1/4 tank of fuel thru it so far. But I can't quit grinning
Fuel economy won't be any better if you stay on it but it is great! Just make sure to keep an eye of everything and double check your defuel parameters.