I guess it is already turbocharged so adding a turbo won't help.
Taller gears only helps if it is currently under geared. There is a point of diminishing returns with taller gears. The manufacturers engineers are well aware of this.
The tried and proved methods of reducing fuel consumption are:-
Use Diesel.
Reduce engine size and add a turbo to get the power back.
Reduce power.
Reduce tare weight(no unnecessary accessories or options and light weight body).
Reduce luggage weight (get rid of all unnecessary junk you carry in the truck).
Reduce payload weight (might seriously eat into earnings).
Reduce rotating weight (lighter smaller wheels and tyres).
Reduce rolling resistance (higher tyre pressures and narrower tyres).
Reduce aero drag (get rid of bull bars, unnecessary lights, horns, emblems, roof & gun racks, wide tyres and flares, antennas, mirrors etc).
Reduce frontal area.
Eliminate unecessary trips.
Combine trips to reduce cold starts.
Use light weight synthetic oil.
Run a high temperature thermostat.
Block of portion of radiator grill in cold weather or cold climate region so the opening is no bigger than necessary.
Use a stick shift transmission.
Use lightweight gear and diff oil.
Check brakes are not dragging.
Remove air conditioner.
Minimise draw on electrical system.
I am sure I have forgotten something.
Many of these methods will reduce function, performance or durability of the truck. That is why the OEM may not have done them.
It is amazing that some people can actually believe that the large type American pickup truck can get substantially better mileage than my stick shift, fuel injected 2300lb, low profile, good aerodynamic design, Honda Integra.
Regards
Pat
See FAQ731-376 for tips on use of eng-tips by professional engineers &
for site rules