When I traded my F150 with SuperSprings for an F350, the nose of the fiver was 3" higher with the Reese 16K and the "picture frame" adapter for the puck system. With the longer (6'5" vs 5'7") bed, I didn't need the Sidewinder for clearing the cab, so I locked it out and raised it 2" to the top holes. Still nose high and I found my Dexter EZ-Flex upgrade had lowered the fiver and was allowing the tires to hit the chassis. This was while traveling cross country, so I scheduled a visit to the MorRyde factory in Elkhart, IN, had the MorRyde pinbox (lowered nose 1") and CRE 3000 equalizers (raised fiver a little) installed. Now the fiver is almost level and rides much better.
Before doing anything with your hitch, take measurements. I had planned to swap the Reese 16K and adapter with a B&W puck hitch. I measured the Reese at 16 1/4" from floor to plate. The lowest B&W position was 16 3/4" so I saved $950.