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I used Moog greaseable ball joints on my '03 and they seem to be holding up well. Ford does have some greaseable joints available, but I'm sure they cost more than Moogs.
What is the "unladened" weight with gas, full, water and propane full, holding tanks empty?
What is the actual "drive away weight" when you are actually using it?
If I were to guess --- you have an overload problem that is contributing to early failure.
It is highly improbable that 40,000 miles will be enough to wear out ball joints on a 450 (factory greased) unless there are other factors.
I have seen cases of premature wear, but these are vehicles doing rough work --- snow plowing, heavy hauling, 4 wheeling, or the joints have been immensed in water --- like by crossing a stream, or constant use on rough (dirt with lots of holes) roads.
On pavement, with average loads, ball joints should be pushing 70,000 miles.
There was a problem with ball joint quality on the E series back in the early 90s, but that is a long time ago.
Moog. You may have to run without the grease fittings, as they may hit other parts as the suspension moves. You screw in the grease fittings when you need to regrease the ball joint.