Only drive it downhill, and tow it uphill...:bwahaha:
Seriously, your mileage is about spot on what you should expect...assuming that 19 MPG is an overall (city/highway) mixed mileage? As long as you keep the vehicle maintained and keep the tires properly inflated, I don't know that anyone can suggest anything that will improve your gas mileage.
I certainly would not invest in any kind of special equipment to try to gain more HP or gas mileage. Not all modifications will save you gas, and even if they do, the improvements are very small and the payback time is very long....After all, the truck is 11 years old, and you may want to move up to a newer vehicle soon and you may never get your money back?
I recommend that you just keep doing what you are doing and be happy.
...Rich