I always ran mine at 40 in my last trailer and did in this one initially. Thought this shower head was a little weak at that pressure so upped it to 50...and I had larger tanks so all should be good.....and it was; until DW got back from staying with my daughter.
Don't know if it was because she liked the increased amount of water, the bigger shower stall or what by I ended up at 11pm with water in the bottom of the shower. Way off the schedule I had developed in my other trailer and for me in this one. Now I'm back to 40 and will be replacing this shower head. Oh, and that new Dometic toilet I put in? It actually does a good job of flushing at 40psi unlike the Thetford that came in this.