The 6.0L Is a TOTALLY different animal than most guy's realize though. It has a Variable Geometry Turbo which can be difficult to diag without the proper tools.It is operated off of the backpressure reading, as the back pressure changes, so does the turbo "size".. In Robbie's case, I still believe its a turbo that is sticking because the problem comes and goes..
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I agree with HGM, I have no experience with Powerstrokes but I have quite a bitof experience with VNT's and EGr that are on Detroits and Cummins and this probleems sounds exactly like what HGM said.
the turbo itself could be sticking, or it could be as simple as a sensor giving the ECM a false reading here and there and adjusting the turbo accordingly.