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Is the check engine light on? If it is, I would take the truck to an autoparts store and have them use a scan tool to get the fault codes stored in the computer. Most stores offer this service free of charge. I would lean toward a faulty throttle position sensor, but getting the fault codes would be helpful. Hope this helped. Good luck.
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First thought: Check the idle air control valve, or whatever its Ford equivalent is. Sometimes these start to stick and cause the rough early idle that smooths out later.
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