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Completely replaced the the two support bushings(entire assembly) bottom two boxes. My tech did something with the front bushing without removing the cover. Honestly not sure what he did with the front, but I could ask.
One of them was completely shot, the other was in pretty rough shape. It did not seem to challenging to replace the whole assembly (easy for me to say, as the Lexus Master Certified tech takes care of these things in minutes that would take me days........)
If your truck has the clunk(seems like most do) and similar mileage, or age, make sure to check them.