2019 F450 and tire pressure monitor

Oklahoma did away with inspections long ago. With a TC on the back, I prefer to have up to the minute pressure readouts. Felt the same on my previous motorhome. Peace of mind. I like the idea of internal sensors.Likely will go external for now.

I installed the TST in tire sensor system on my E450.
Works really well and offers true in-tire temp monitoring.

TST TPMS

I haven't really had an issue not having tpms. I buy good tires that are tough though.

I hope VA eliminates theirs too but I don't think it's in the works. I see it as having to spend time and money to prove their isn't anything wrong with your vehicle, the opposite of "innocent until proven guilty" We can't have any dash warning lights on including "check engine".

TPMS is part of Virginia's safety inspection? Not in Texas. In fact I hear talk of eliminating our state inspections. Not worth the effort. Most people that are concerned about their vehicle not passing just drive with expired inspection stickers.
My son's truck is at least 2 years out. He works too much to take time to get it done. Drive to work in the dark, drive back home in the dark.

I still have TPMS I bought over 10 years ago for motorhome.
The sensor who screw on the valves weight 1 oz and did not affect tire balancing even on smaller car tires. (wonder if the batteries still work after 6 years of storage).
But my new dually have very weird tire valves angle. None of the chucks I can buy works well with them, so there might be some issue with adding sensors as well.
Than removing sensors for inflating is going to be big pain.
On my motorhome duallies I had tire equalizers and add single sensor on it for best of them all.

I have thought about using the trailer TPMS. It comes with internal sensors and I don't know if they would work with the beefy aluminum wheels.

I build my 2017 F350 dually and maybe I remember it wrong, but TPMS were standard.
Quite possible that F450 classified as strictly commercial don't have them?
That said one of my TPMS start showing like 30 psi more than actuall.
I had it twice for the repair and it is still wrong.
Not a big deal, but seems over-sophisticated for dealer.
I have TPMS on all my vehicles and love checking tires at 80 mph.

But honestly dont you ever check your tires?

I check mine two or three times a day thanks to the TPMS. A couple of buttons pushed on the steering wheel and I can see my tire pressure. Works even if I'm running 65mph down the highway. It is a real comfort after you hit something in the road to be able to switch over to watch the tire pressure and make sure I didn't get a puncture.

I guess the 450 with the 19.5 tires figure there isn't anything strong enough to puncture the tires. lol

If it’s that concerning, I bet you could install monitors in the truck tires and use the trailer system to monitor them.
Otherwise I wouldn’t worry about it one bit. You can, or do have tires that are rated significantly higher then the loadsthey will be seeing. That’s already a huge factor of safety. But maybe you want belt, suspenders and a girdle.