I'm in the same boat, trucks running right at 165, it gets up to 195 shortly after starting and then as soon as the t-stat opens it's right down to 165, can hammer on it, let it idle forever and it never gets any warmer, and the heat sucks, t-stat is only a couple weeks old (didn't make a difference when I changed it) there's plenty of flow when I have the cap off, I've tried "burping" the system more then a few times, never seems to have air in it, fan clutch seems to be operating properly. I'm going to cut a piece of card board and cover about 1/3 of the radiator and see if it makes any difference. I'm just about out of options before I start replacing radiators and heater cores and whatever else!!