A link to a video of my truck is below with the noise very audible. There is the typical valve train noise and then a lower tone noise.
https://youtu.be/WtcCUcn24IA
A little about my truck:
06 Silverado, 1500, 4x4, Vin Z, 5.3, Crew Cab, 210,000 Miles, rebuilt motor with new lifters and cam at 97,000 miles. I have replaced the belts and tensioner. Oil pressure 30-45 while driving consistently.
Any thoughts about where to start looking or trying?