Look for things that stand out first of course, like uneven tire wear, check engine light, odd sounds.
If I've come to a stop without having to use my brakes hard I'll check to see if the brakes are warmer on one side the the other, you can also check to see if you have a wheel bearing that is getting hot or a tire that is getting hotter then the rest.
I was going to suggest that if you don't need a truck that you might sell it and get a car that can tow a small trailer for those times that you need to haul cargo, but your truck is not worth a whole lot so the pay back would take a while, altho it still might be worth thinking about, or a better deal for you might be to find someone who you already know who needs a truck who has a car that gets decent gas mileage that would be willing to do an even trade.
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