I have a 2014 F150, 2WD, with 220k miles on the clock. It has 3” block (part of the 4” lift), airbags, and new rear shocks. When driving, it feels like the rear end bottoms out. Looking at my springs, they look flat and there’s about a quarter inch gap at the spring pads. The airbags are barely inflated.
As a builder, I do keep stuff in the bed all the time (but not a but not a crazy amount of weight) and I also tow my aluminum car trailer to the track.
Would new springs or HD springs help?