When starting your vehicle, cycle the key twice to pump up the fuel pressure. If the vehicle starts like normal, I would replace the fuel filter. Has the fuel filter ever been replaced??? I posted as a solution, but there is no option on this question to get more info.
This could be the signs of the fuel pump going.If you can install a pressure gauge and see if the fuel pressure is up to specs.with the key on and engine off.The specs.are 50 to 57 on the 4.2 and 55 to 62 on the 5.3.Should hold for at least 10 minutes or more.This is with the key on and engine off.Do not cycle the key.As far as tune up.You can check the plugs.They are 100k plugs but they could be worn.I don`t think they are if it runs good once it starts.I`m sure you are changing the air filter also.You seem to take good care of your vehicle.Hope this helps.Good luck.
Take the vehicle to any place that services emmisions on vehicle ar go to the dealer and the codes checked from your computer. If nothing is found (code wise) get a full tune up. You may have a clogged fuel filter or may even got bad fuel at any gas station
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