I guess I should have led with I am 6’7” and pushing over 300lbs.
I mean absolutely no offense by this, but I'm not even sure how you
fit in the driver's seat comfortably. Two people that I know whom are pushing your size basically don't ride anywhere with me because it's so tight in the cockpit; I'm only 5'-10" and I push the seat almost all the way back on the factory sliders.
My first thought was I am well past any safety factor on the suspension seats. So I bottom my seat out immediately. I was hoping to get something to soften the ride a bit.
Safety factor: no. Those seats are tested to FAR higher forces than you can generate during normal driving. Even back in the day with lower crash-test standards, they were put through the wringer; you're not making them unsafe... you're just overtaxing the spring and shock because you're a larger hominid, and those are two different issues. That being said...
I didn’t think a ton about the suspension. I have about 145k miles and the suspension looks ok, but perhaps I should do a deeper dive. The truck has a decent size lift that was on it when it was imported so I am assuming that makes for a rougher ride.
Most of the ride quality issues I've ever faced have been due to stiff springs and overinflated tires; I'd check those first.
how would I inspect the leaf springs. I don’t see any type of sagging or anything I would expect to see in a coiled suspension. This is the first truck I have had with leafs.
You'll have to measure them...and that means pulling them loose, inspecting them, measuring the free arch (look that up) and the overall length, checking how much force it takes to flex them a given amount, and then comparing all of that data to known measurements when new...and that's where it all gets difficult. You have to get the as-new data, or you're working in the dark in terms of whether or not the suspension is fatigued, sagging, etc.
That being said: usually, when there's a question of roughness in a suspension, it's because the springs are just too stiff for the normal load, and they're not moving correctly. Either that, or there's a physical problem with the suspension: seized bushings, over-tightened shackle bolts, etc. Might be good to check those easy things - and the tire pressure - before you start pulling leaves.