Alright, I got it adjusted and the first start up after plugging the ISA back in the truck , it sat at about 2000RPMs. I plan to take the ISA apart and see if I can figure anything out.
To go back a little bit, I replaced my EGR gasket after a smoke test and seeing smoke escape from there, also while tightening that down I noticed I was missing the rear lowest manifold bolt/stud. Threw a bolt in there and after all of that the stumble/stutter seemed to go away and has been gone.
I’m assuming I’m good on vacuum leaks but I’ll smoke test it again when I remove the ISA to verify. I’ve been smoke testing through the brake booster vacuum, if anyone has other places to test let me know!