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I had a similar problem. So far, I've had the catalytic converter, O2 sensors & throttle body replaced (all under warranty, of course). I had a condition last weekend where the Check Engine light came on and the engine was straining to move the truck along. I let off the gas and let it coast half a block and the rough running smoothed itself out. I'm about to replace the fuel filter this weekend as I'm thinking something got caught in the fuel line and caused a partial clog, which caused the running lean condition.
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