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Replace Drive Belt Tensioner on 2004 Honda Pilot

My 2004 Honda Pilot EX has 74,000 miles. I was told that my drive belt tensioner needed replacement b/c it vibrates when spinning therefore creating a high pitch sound. Should I have mechanic replace the tensioner and go ahead and replace timing belt water pump or should I have mechanic change the tensioner now and then change timing belt water pump at the recommended 105,000 miles?

Asked by for the 2004 Honda Pilot
The owner's manual says to replace the timing belt at 7 years, so just by time alone you are due for the change.