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My friend has one in a 2001 Ram 2500. The truck has like 240,000 miles on it, it is on it's 2nd tranny right now and the synchros are going out of it. It has had the 5th gear worked on a few times. The truck did TONS of HARD pulling, and this may have had something to do w/ it too, but was always very well serviced.
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He swapped a Getrag in? After 93, they were NV4500's IIRC.