>>> ...with 57K miles and it has this problem that is driving me up the
>>>wall.
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>
> No, been tuned once.
I wonder what plugs they put in it. It should have NGKs, others can
cause problems. I would guess that either one cylinder is misfiring or
one injector is sticking for a bit. If it were my truck, I'd check it
for codes and if there were none, I'd replace the plugs. Could even be a
loose plug (heat eventually expands the head until it seals).