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I bought my truck with 203k on the clock; steering and handling was TERRIBLE. First thing I did was replace the steering gear and flush the system. That made a big difference but still there was slop. Then I replaced the whole front end: shocks, steering stabilizer, tie rods, drag link, track bar bushings, leaf springs, sway bar bushings and end links. No noticeable slop now!
Still, even after new tires and an alignment the truck has considerable drift at highway speeds, especially in a strong headwind. Since I just finished replacing the whole rear suspension, the only thing left is main ball joints in the front hubs. And testing with a 5' cast iron bar gives no play. Oh, and the frame mounted bushings for the rear shackles on the front leaf springs.