Good friend has a bright red 2500 03 h. o. 48 re. At 130k(90%hiway/towing a cargo trailer) started surging on start and at idle. Some off idle surge low rpm. . At times feels like its missing at idle. In general does not run as it should. Change fuel filter several times and then added a BOTTLE of Howes diesel additive. Ran GREAT,surge went away etc. Now its at 135k and UNLESS he runs a quality fuel condintoner it starts doing the SAME issues. Any of several differant fuel additives takes care of the problem but LUCAS. He checked lift pump by pulling filter and timing how fast it will fill fuel cannister up. Fills it FAST under the 10 seconds or what not. But he HAS to run a FUEL CONDINTIONER or truck runs poor with surge,skip ,missing issues. ANY IDEAS?