FWIW the Melling 22119 cam is spec for a non-balance shaft (pre 1992) 4.3
The Melling marine cam for balance shaft equipped 4.3 is #22222
I have no idea what the difference is
https://www.melling.com/wp-content/uploads/2018/02/ag-marine-catalog.pdf
page 38
This is, of course, assuming that the...