Just the usual questions, 50/50 water / antifreeze?, was there a lot of buildup or rust inside the thermostat housing. Hard water deposits = check radiator, Rust, there are some cooling system flushes out there that help eat a little of that out.
Mine was overheating when loaded just before I finally blew the HG. But then again, mine had been stuck and scored in 4 cylinders by PO. :-{}
I guess a big question would be Is this different from the past or is this a new to you truck?