UPDATE: Pulled fuel filter off and beat it on the hand and a bunch of dark brown gunk came out, ordered a new toyota fuel filter. Hope this fixes it.
No power issues with the 49s till a few days ago. It happened suddenly. We tried running carb cleaner through it to get it to crank and that wouldn't even start the truck. Fuel pump has never been replaced and my mechanic said the plugs and wires were fine
Stop throwing parts at it and diagnose the issue. Use loan a tool to get a fuel pressure gauge and start there.
UPDATE: New coil didn't help. Truck still shows all the same symptoms