Just some tips for those still troubleshooting their TPMS connection if it doesn't work after following manual:
1. If you need the larger size TPMS, Nichols Manufacturing out of Phoenix makes an adapter kit. They are pricey, but they work! I first tried using some from NAPA, but they didn't fit my rim thickness. The Nichols Manufacturing ones worked perfectly.
2. If you are not able to get a signal using the air down method, buy the cheap tool on Amazon referenced in this thread. That worked for me, but only after completing the next steps:
3. I had to rotate each tire so that the valve stem faced forward.
4. And I had to back my truck up so that the rear was facing the trailer. I wasn't hooked up to the fifth wheel as we were staying in it. Didn't want to go through leveling, removing the tri-leg stand in the front etc. First, I tried pulling up next to the trailer but was facing opposite direction. Then it dawned on me that it may be directional. Not confirmed, but it only worked once I turned the truck around and backed up as close to the trailer as I could.
You may have better results than me. I had another 5th wheel with this setup and it worked flawlessly using the air down method, but that trailer was 38 feet long. This one is 43 foot long.