Start with the basic, do a compression test to see that all the cylinders are similar. No use throwing parts at it if the rings are worn. Any other symptoms like extended crank when the engine is cold? When was the last time the filters were changed? When was the last service done on the truck? How many mileage do you have on the truck?

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2006 Infiniti G35
2001 BMW 3.0I E53 X5 Build date 08/2000 SOLD
Lotus Europa 1970 Destroyed by fire
Lotus Europa 1970 S2 Renault Powered
Lotus Type 52 1970 Twincam Webers Powered
PORSCHE 911 Targa 1982 The Garage Queen
Audi Avant donated to Kars for Kids
BMW 525IT Sold
Audi 4000CS Quattro Sold
Jensen Healey Lotus Powered Sold
Opel 1900 Sold
Triumph Spitfire 1971 Sold
Triumph Spitfire 1968 Sold
Plymouth "Cuda" 340 Six pack SOLD