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But when it goes, the truck will overheat in a hurry. Especially in the Summer.

I think that is about when the radiator failed on my 80-series. No problems with the thermostat or anyone banging tools into it. It just cracked at one of the fittings. Got a new one from CDan and back in action.
If your not DIY, that's a different story. But when it goes, the truck will overheat in a hurry. Especially in the Summer.
Age is probably an issue as much if not more than miles. What year is it?
There are a few good parts guys out there.
Cruiser Dan is the cruiser parts guru at American Toyota in Albuquerque. Very knowledgeable. 800-432-6668
I also use Jacque at Toyota of Dallas, and pick up locally. 972 852 0105 http://trdparts4u.toyotaofdallas.com/scripts/openExtra.asp?extra=2
Also, if it were me, I would replace the plastic T's in the heater hoses, the hoses, maybe t-stat and the fan clutch too. At that mileage all those things start to go. But, you should have just done a Timing Belt and had lots of that apart. Or are you due for one? If so, get it all done together.