I have the exact same truck, just a year older. The truck specs for 5w30. You'd be good with any conventional or synthetic.
What do you run in it now? How many miles on the truck? How many miles a year do you drive it?
I know this truck inside and out....so let me ask you a few questions:
1.) when you remove the PCV valve, is there a strong suction at the hose? (or unplug the hose from the base of throttle body, is there a lot of vacuum there?)
2.) When is the last time the plugs/wire/cap/rotor have been changed?
3.) Do you have a timing light? Make sure the timing is set to "0" when with the truck warmed up, and the "EST" wire disconnected
4.) Change your fuel filter
5.) Have you ever go through the throttle body and cleaned it up and replaced the gaskets?
6.) The tranny loves Valvoline MaxLife ATF and I've had good results adding a bottle or two of LubeGard Red as well.