These trucks were made to work hard. Load it up/hook it up and go find a steep hill on a hot day if you want to see if you fixed it. But; as anyone here on this site will tell you, monitoring your EGT's(exhaust gas temperatures),ECT(engine coolant temp.), EOT(engine oil temp.), Fuel Pressure, Boost Pressure, are all important. Also, if your problem continues, they have a test kit to see whether exhaust gases are mingling w/ your coolant. If at all possible, get the history of your 6.0. We have a great strong engine, but had/have some issues. Maintenance and monitoring are most important w/our 6.0's. Especially an 03', the first year out for this International VT365 in our Powerstrokes. Hind Sight Hint
They should have used head studs from the start)