As an injector pump wears, there are generally 3 things that go wrong with it, all at the same time.
1) fuel deliver decreases
2) timing retards
3) the ability to adjust and/or hold timing through the throttle range decreases.
There are other failure modes that can result in hot start problems, missing, rough running, or just letting you sit, but these 3 things are happening right now to every pump that is on the road. These changes are so gradual that you will not be able to notice it. That is, until you replace the pump. Then you say "OMG!" I didn't realize how bad it had gotten... I thought it ran great.
With injectors, they generally are no longer "perfect" after about 10,000 miles. The spray pattern starts out as a perfect cone, and slowly collapses into a stream. The pintle will stick due to fowling, and this results in wasted fuel, bad cylinder timing, and an occasional miss.
If this is a new to you truck, spend the $800 or so on a new fuel system, and then you have some history and can be assured of getting the best power and economy your truck can deliver.