My coolant has gotten that high before with no load climbing Old Priest Grade on the way to Yosemite. The last trip I made there a couple of months ago we only had camping gear, my wife, two kids and our 90 lb Lab with us and the truck was crawling at about 15mph up the grade with the air off and I had to turn on the heater to help cool it. The EGT's reached 1000 but that was with my probe located in the EGR block off plate. Moved the probe since then and I believe that they may have been more like 11-1200 during that climb.
That is the steepest grade I have ever gone up and both times it's gotten to the point that I thought it would overheat. The clutch fan was definitely doing it's thing, sounded like a helicopter.
After that pull it always cools back down and is fine.
My thermostat went out around 50k miles and it was real obvious cause the temp gauge was going real high at 55mph which it never really does. I didn't have the normal cycling that I usually see.
Bottom line is, drive the truck without a load and see how your temps look. If it still goes real high I try a new thermostat and then see what it does.
Put in a new thermostat and it's been fine since.