Altitude can play a role in combustion ignition, temp sensors both air and coolant. Battery voltage and charging need to be in sync in order not to throw the sensors off.
Do you think elevation plays a role ?
Is your secondary fan kicking in and what temp , or only when the hvac is on ?
How much are you towing plus the where ?
above 3000 ft
(would be my primary concern)
Others that have given advice on the occasional fuel treatment
is a good idea.
Colder plugs burn faster and hotter at ignition but as mentioned before draw the heat away from the combustion chamber up their insulator into the cylinder head.
View attachment 523003
colder plug thread