Coolant age and type is unknown on this truck so I decided to follow the workshop manual versus the simpler “drain from lower radiator hose” method favored on the forums. Be warned….this is a messy job.
Have a lot of drain pans ready because when you remove the engine block drain plugs, coolant sprays everywhere.
Filled the expansion tank until it stopped draining, then lifted it about 8 inches up to help it drain. Kept doing this until coolant started to come out of the bleed hole. At first the coolant bubbles out as the air is being removed and then it comes out in a steady stream. While this is happening, kept the expansion tank elevated and screwed in the bleed screw. Completely filled the expansion tank, then ran the engine until warm and refilled to the cold fill line. After driving around a bit, the level dropped so waited for the engine to cool down and filled again to the cold fill line.
Plan to change out the coolant every year. Should help the head gaskets last a little longer.