I'll probably upset a few people with this post but IMO the reason for your poor fuel mileage is the 4.3.
It's never been a great fuel mileage engine, even in the S series trucks it didnt get much better than what your seeing.
I really think deleting the two cylinders killed the performance of that engine and I've always felt it was underpowered for a full size truck which causes it to work harder and consume more fuel.
As to why your suddenly experiencing even worse performance and mileage? Good question it appears youve done everything to ensure the maintenance is up to date.
Have you checked the compression lately? Maybe the engine's getting ready for a rebuild/replacement.
It's never been a great fuel mileage engine, even in the S series trucks it didnt get much better than what your seeing.
I really think deleting the two cylinders killed the performance of that engine and I've always felt it was underpowered for a full size truck which causes it to work harder and consume more fuel.
As to why your suddenly experiencing even worse performance and mileage? Good question it appears youve done everything to ensure the maintenance is up to date.
Have you checked the compression lately? Maybe the engine's getting ready for a rebuild/replacement.