Okay I've summarized everything and here is what I have come up with. Let me know if I missed anything. Remember this is for those people who recently noticed their fuel economy decrease.
Your fuel economy has started to get worse. Ask yourself why? What have or haven’t you done that can decrease fuel economy. Here are some questions and things you should look at.
1. Is my truck past due for an oil change? Is the oil the proper viscosity?
2. Bad or winter fuel.
3. Are your tires inflated to their proper air pressure?
4. Are your brakes sticking/dragging?
5. Is your soot trap and or exhaust system clogged?
6. Have you added any heavy accessories lately such as rancho bumper, mud flaps, Lift kit, bug deflector, external sun visor, bigger mirrors, winch (not your wife or mother in law

), etc.?
7. Are you carrying any excess weight/junk in your truck?
8. Have you replaced your tires recently? More importantly replaced them with larger and/or more aggressive tread such as off road tread.
9. Have your driving habits changed, i.e. more city driving, more idling, are you driving faster/heavy footed, driving w/ windows down, etc.
10. Is your air cleaner clean?
11. How old/dirty is your fuel filter?
12. Is lift pump working properly? What is the pressure at idle and wide open throttle?
13. Do you have a fuel leak (inspect from your fuel tank intake line to the Lift pump, lift pump to fuel filter manager (FFM), FFM to IP, IP to Injectors, IP to return line) and finally is your T-valve leaking?
14. How old are the injectors? Did you test them? Are they good or bad?
15. Failing injection pump. Do you have any DTC’s? Is IP timed properly? What are the IP timing statistics?
16. Turbo oil line flowing (not partially clogged), Waste gate functioning properly and turbine spinning freely.