99% of the time that I hear an issue, people have done something other than just pull the cam out press the gear off, press the gear on the new cam, add pre-lube, install, change oil, reset lash and then run.
There are so many things that we are not covering by the he said, she said game here. The best thing is to pull it down, isolate any issues that may be there, remedy them and then go on. If it is put together right it has no choice but to work correctly.
I have never installed a cam gear in the truck. It really scares me for a few reasons. The thrust is not the only thing holding the cam one way or the other. On CR trucks the tappets are relatively close to the journals and the fuel pump eccentric. If you have wiped out the thrust a few different times, the tappets have most likely been riding on the cam journal and the fuel pump eccentric, grinding it all down. All of the metal shavings that come from the tappet and the journals can get in between the lobe and the tappet. Not only that, but the tappets can be side-loaded in the lifter bore which can cause more issues. All of this can be avoided by doing the install correctly the first time........one and done.
Please, pull the cam out, check the tappets, lobes, thrust, fuel pump eccentric, back of the cam bore (rear plate) and the gears for any wear. At this point any thing else is using a "jump to conclusions mat" to diagnose the issue.
If there is anything we can do for you, feel free to call us.
Zach