I changed our timing belt and the tension spec was too much. I found that the cam and flywheel alignment holes were off enough that one, or the other, but not both alignment holes weren't in line (very close though). Ensuring that the cam was not off a tooth either direction, I tensioned the belt so both cam and flywheel holes lined up. Whatever tension spec that is really doesn't matter too much, so long as the fuel pump is correct as well. Re-check belt tension after running an hour or two then again until you're comfortable with your work. Then, check the alignment holes and "general tension" (aka finger) at least annually.
The MD22L has never run better since we've owned it.