school me on wheels, tires and shocks!

I'd just run it. I have the same truck, 19' Crew cab w/130,000 miles. I put Bilstein's and tires/rims on it day 1. (275/70/18) Do the same type of driving you describe, aside from the mileage. I average over 20k/year. Done nothing besides routine maintenance. Like stated above, mileage sucks. About 14/15mpg unless I'm towing, then it's 8 if I'm lucky.

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Thanks all. I guess to add to my question what is an “efficient” lift to help increase off road capability. 2” level with 35s all terrains?

What I don’t want it some monster truck lift with mud tires ect…

@DapperDan @Cady Creek how do your rigs handle off road with those mods?
 
I gained an inch with the Bilsteins and an inch with the tires. So about the 2" your looking for. I'd be surprised if your's doesn't already have something based on the look and those tires w/no rubbing.
Mine see's limited offroad use, aside from a gravel road now and then so can't comment on anything too extreme. I have a 4" lifted Jeep w/35' for that.
 
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