Everything is stock expect the studs and the egr delete
You may or may not have much to worry about.
From what I have learned, there are different methods of "EGR delete", mostly having to do with the EGR cooler.
The "road" to head gasket failure that begins with a plugged oil cooler results in inadequate coolant flow to the EGR cooler, which is downstream from the oil cooler. Lack of proper coolant flow leads to a ruptured EGR cooler, coolant in the intake manifold, and subsequently in one or more cylinders. This tremendously increases pressure in the cylinder leading to head gasket failure. I think I have this right, but I am sure someone will correct me if I misstated something.
Now, the reason for the explanation above...
If the "EGR delete" done on your engine included removal of the EGR cooler, or disconnection of the cooler from the coolant system, then the failure mode described above isn't likely to happen on your truck.
You might be able to determine this by tracing the coolant line coming from the back of the oil cooler housing. As built, that line went to the EGR cooler on the passenger side of the engine. If the cooler has been removed or coolant has been rerouted around the cooler, the line from the oil cooler most likely runs to the underside of the intake manifold on the passenger side of the engine.
If this is the case, the "only" consequence of a plugged oil cooler is elevated oil temps. How elevated will be a function of how badly plugged the oil cooler is and how hard the engine is working.
The consensus appears to be that if you are cruising a while at 60 MPH with the engine fully warmed up and the difference between coolant and oil temperature exceeds 15 degrees, it's time for an oil cooler.