Shackles only, I mentioned the blocks to my buddy whos shop did and he said to only do the shackles. The block looks to be 1.5-2 thick.
If you do the shackles it will take 1-2 hours, you have to drop the rear hitch assembly to get the shackle bolts out from what the shop told me. I don't mind the slight rake, looks way better than the stock look. I wont ever run a larger tire so that is why I went this way over the front lift kit (moves the lower shock mounts up 2" instead), plus then you have to get a front end alignment as well.
If you do the rear you will need to take at least 2 360° turns out of the front headlight adjusters to get them down some. It is super easy and that is a estimate, even with 2 turns out the lights are still up a bit from the factory setting(which I think is too low, I am sure it is low incase of weight in the bed which then levels the lights out).