It was a long, drawn out discovery process, so I won't repeat it all again here.
However, after noting a slow coolant drop over a short period of time, I began looking for any leaks by using my radiator pressure test kit.
By installing the test kit on my cold engine and then pumping up the pressure to 15 PSI and then waiting, as the pressure was dropping slowly, I was able to locate a couple of external leaks at different hose connections.
I fixed each of those leaks and performed the test again.
I still had a very slow pressure drop.
Having already discovered something strange was going on with the engine oil, I decided to remove both rocker arm covers and once again performed my pressure tests.
This lead to the discovery of a very small coolant leak between the center head bolts on the driver's side head.
That coolant would seep into the rocker arm area of the head and then drain down into the crankcase and mix with the engine oil, turning the oil a jet black in color and made it much thinner than fresh engine oil.
I had previously noticed that my oil was turning black within a few hundred miles after a fresh oil change and the level of the oil appeared to rise a very small amount on the dipstick.
I also noticed there was no lifter tick immediately and for a short period of time after a fresh oil change.
Some time later, after the truck had sat unused for a couple of years, I had a trusted mechanic replace both heads and that appears to have solved the coolant leaking issue along with the oil contamination.
The engine is back to running like a top with no more coolant leaks and the oil level stays consistent and clean.
And no more cold start lifter ticks.