John,
As you've seen in my posts in this thread, I've used both modules and tuners, both stacked on two trucks, and have had great success with both. There are old posts in the 2nd and 3rd Gen forums here on the TDR where similar discussions took place regarding high fuel pressures, high EGTs, damage/excessive wear to components. Never hurt any engine, engine component, drive line, transmission, clutch, or any other components. My 2002, I had the originally clutch running Edge Tow Pro with Smarty on top. After I quit towing, about 150,000 miles, I set the Smarty on level 9, and still had the original factory clutch when I sold it with 198,000 miles. Could be my conservative driving style contributes to the longevity of the vehicles and the successful use of the mods..
I see the same discussion occurring here again. And, I'm not concerned about this module either: The engine sensors and components are very sensitive on these trucks and I believe will set a code if there is an issue and a lot of parameters are measured in milliseconds. BTW, I like Smarty, had it on the 2002, 2003 and 2009. Couldn't get a response from the MADS website, so they lost my business. This module has been out a while and I couldn't find a failure related to the product. The one element I don't have expectations on is improved mileage, just don't usually drop mileage. And, the old type a me like the idea of an EGT gauge. I may do it, but a real pain to do on this truck. I broke off the tap in the exhaust manifold on my 009 4500. Fortunately, by BIL had a neat back out tool that easily removed it.
As always, I'll be an honest broker on this and report any problems and conversely, any positive results. Thanks for your input, opinions, and suggestions. Happy to have the discussion with you all.
Cheers, Ron