You need to check the timeing on your truck you must short out the timeing with a paper clip in the dignostik port place the paper clip on e1and t the cap for the diogport should have it marked on the inside conetk timing light and start eng you should have timing set at 5 degers TDC.if the timeing is set coreck you timing mark should not move at all.if it is dancing arownd your timing chain need replaceing.**** if all is well and you dont have timing problems check the catolitck converterit may be pluged allthow the exoust is flowing out the tail pipe that dose not meen that your catoletick converter is ok.you may need too replace it.
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You need to have a mechanic do a cylinder compression test. It is possible you have a leaking head gasket or a broken valve. The engine is straining against a cylinder that is not working--that is why the performance is so bad.
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