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ive changed fuel filter and flushed fuel system on trk also had to change exhaust manifold studs

Vehicle: 2000 ford f 550 6.8 v10

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Have you replaced the spark plugs recently?if not replace it. check to see if the ignition coils are working. Add 91 octane gas from Shell with a good fuel additive (chevron with techron fuel system cleaner) Not fuel injector cleaner.

you can also check for intake leaks 

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