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Had the same problem...
Took my 03 2500HD (21,000mi) in for what felt like loose lug nuts when all were checked tight. The dealer first came back with the "no grease" thing and it was OK - for about a week. Took it back when the problem returned and they found a bad bearing in the steering gearbox which they replaced. Still doesn't feel 100%, but feels 90% and I'll watch it to see if it gets worse again.
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