I run them at .0035 without an issue. After ~12,000 miles, no sign of piston rocking. No noise from it either. I find it hard to believe you would hear piston slap at that clearance. I think it more likely you would hear the wrist pin. It comes out of the box at .0035 on the monotherms. You would only hear that when it's cold though. Monotherm's wrist pin clearances decrease as the engine warms up, where stock piston's wrist pin clearances increase with engine temp.
Ty, I do not think that the noise you were hearing has anything to do with the monotherms. From my experience the monotherms run just as quiet as the Cummins pistons do.
I think the bigger issue with running large pw clearance with monotherms is cylinder wall loading. IMO .004 isn't a problem. .007 or more and cylinder wall cracking becomes more likely.
Paul