If you need reliefs you should not be doing stock delipped pistons in my opinion.
I agree.
Truck is a DD and the pistons are in good shape, see no reason why not to use them. Wanting to run a 6480 AF or similar, what problems will I have running them? Has it been done before with any success?
It's about how hard you will be pushing everything to need such a big cam. A 3388 is plenty for stock pistons.
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