@Boblaw66 if you like, we might be able to walk you through the repairs.
This sounds like one of two issues.
Air intrusion into the fuel system or a lift pump failing.
Stop at any hardware store and get 1/4” diameter clear tubing, replace the 6” long piece coming out the front of the ds4 in an u shape. Then watch that for bubbles going through which indicates air is getting sucked into the fuel line. Basically a fuel leak before a pump wont leak out fuel but will instead suck in air. The ds4 can’t handle it and ya repair the leak.
To find the leak, put 1-2psi air pressure in the fuel tank with engine off. This will cause fuel (or air) to leak out and you can hear it or see it. Usually where the rubber lines are connecting to metal lines, or rusted metal lines.
For lift pump- Add a T at the inlet fuel line of the ds4 and monitor pressure when starting/running. 8-14psi is desired. But anything above 1psi should allow it to start. When the lift pump is bad, the ds4 will suck fuel past the lift pump and run but does so poorly with harder starts, loss in power, loss in mpg all possible.
Ideally use a metal T fitting and mount a fuel pressure sensor there, mounting a gauge permanently in the dash to monitor while driving. This is instant diagnostic when something is going on. A bad lift pump will ruin a good ds4 in no time flat. So the gauge becomes insurance to not ruin a ds4.
Most of the time people learn the factory lift pump is inadequate and has dhort lifespan. You sound like you are about to eliminate the 6.5 or the truck all together? If keeping the truck no matter what- strongly consider if the lift pump is bad- investing in a fass lift pump with filters. Pricey but the best water stopping ability, way better filtering, and the pump last basically forever. No matter if 6.5, Cummins, duramax, etc- they all do better with them than factory filters and Lift pump. You eliminate the factory filters when this is added btw.